=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871236273
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DOCSBY AND VITAMINISE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/14/2022
-----------------------------------------------------
Last Update Date | 07/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9753 S ORANGE BLOSSOM TRL STE 101
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32837-8998
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 689-310-3313
-----------------------------------------------------
Fax | 407-386-3220
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9753 S ORANGE BLOSSOM TRL STE 101
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32837-8998
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 689-310-2613
-----------------------------------------------------
Fax | 407-386-3220
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | ELIZABETH HENSON
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 689-310-2613
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------