MEDICARE: VITAL CONNECTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1093506610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITAL CONNECTIONS LLC

Provider Business Mailing Address
First Line	:	1275 US HIGHWAY 1 # 6129
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5783
Country	:	US
Telephone Number	:	305-588-8338
Fax Number	:

Provider Business Practice Location Address
First Line	:	1275 US HIGHWAY 1 # 6129
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5783
Country	:	US
Telephone Number	:	305-588-8338
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	JANETZI SANCHEZ
Credential	:	APRN
Telephone Number	:	305-588-8338

Provider Enumeration Date	:	05/14/2025
Last Update Date	:	05/14/2025

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