MEDICARE: VITALITY INJURY & WELLNESS, 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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1710720370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITALITY INJURY & WELLNESS, LLC

Provider Business Mailing Address
First Line	:	242 E GRAVES AVE
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-5214
Country	:	US
Telephone Number	:	407-227-3778
Fax Number	:	321-445-9854

Provider Business Practice Location Address
First Line	:	242 E GRAVES AVE
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-5214
Country	:	US
Telephone Number	:	407-227-3778
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANGEL M GARCIA
Credential	:	D.C.
Telephone Number	:	386-801-2093

Provider Enumeration Date	:	06/13/2024
Last Update Date	:	05/06/2025

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