=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376867846
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VITAL SIGNS PHYSICIANS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/26/2010
-----------------------------------------------------
Last Update Date | 12/05/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7350 SANDLAKE COMMONS BLVD STE 2229
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32819-8031
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-351-0108
-----------------------------------------------------
Fax | 407-351-0158
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8763 VIA BELLA NOTTE
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32836-7711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-625-6153
-----------------------------------------------------
Fax | 407-475-1077
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | DR. SYED A AHMED
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 407-625-6153
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 314000000X
-----------------------------------------------------
Taxonomy Name | Skilled Nursing Facility
-----------------------------------------------------
License Number | ARNP29988912
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 313M00000X
-----------------------------------------------------
Taxonomy Name | Nursing Facility/Intermediate Care Facility
-----------------------------------------------------
License Number | ARNP29988912
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------