MEDICARE: VILBORO,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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1538016225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILBORO,LLC

Provider Business Mailing Address
First Line	:	618 E SOUTH ST STE 500
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-2986
Country	:	US
Telephone Number	:	321-297-1666
Fax Number	:

Provider Business Practice Location Address
First Line	:	5052 MILLENIA BLVD APT 204
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839
Country	:	US
Telephone Number	:	321-297-1666
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ROOSEVELT LERICHE
Credential	:
Telephone Number	:	321-297-1666

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “VILBORO,LLC ” Practice Location

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