Healthcare Provider Details

I. General information

NPI: 1528975679
Provider Name (Legal Business Name): VITAL LINK HEALTHCARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 N FRANKLIN ST STE B
TAMPA FL
33602-3313
US

IV. Provider business mailing address

1211 N FRANKLIN ST STE B
TAMPA FL
33602-3313
US

V. Phone/Fax

Practice location:
  • Phone: 813-618-6485
  • Fax:
Mailing address:
  • Phone: 813-618-6485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: GAVIN W SIGLE
Title or Position: DIRECTOR
Credential: MD, MBA, FASCRS, FAC
Phone: 303-547-8221