Healthcare Provider Details

I. General information

NPI: 1013562024
Provider Name (Legal Business Name): VITAE HEALTH OF FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2019
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 HUNTINGTON LN
ROCKLEDGE FL
32955-3136
US

IV. Provider business mailing address

3450 OAKTON ST STE 300
SKOKIE IL
60076-2951
US

V. Phone/Fax

Practice location:
  • Phone: 321-632-7341
  • Fax:
Mailing address:
  • Phone: 833-848-2347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: YITZCHAK FREUND
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 224-777-8045