VIDA MEDICAL HEALTH LLC
NPI 1417748393
Nurse Practitioner - Family in Valrico, FL

Active since May 13, 2025
1508 CITRUS ORCHARD WAY, VALRICO, FL 33594(626) 362-8941 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Vida Medical Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIDA MEDICAL HEALTH LLC (NPI 1417748393) is a healthcare organization registered as a family in Valrico, Florida and active in the NPI registry since May 2025. The organization lists Milena Villalon Gonzalez, Owner, as its authorized official.

NPPES Registry Identity

NPI1417748393
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVIDA MEDICAL HEALTH LLC
Location Address1508 CITRUS ORCHARD WAYValrico, FL 33594-4059
Mailing Address1508 Citrus Orchard WayValrico, FL 33594-4059 · (626) 362-8941
Organization SubpartNo
Authorized OfficialMilena Villalon GonzalezOwner · (626) 362-8941
Enumeration DateMay 13, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1417748393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1508 CITRUS ORCHARD WAY, Valrico, FL 33594

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vida Medical Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vida Medical Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1326728189
1508 CITRUS ORCHARD WAY
Valrico, FL 33594
(626) 362-8941
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vida Medical Health LLC's NPI number?

The NPI number for Vida Medical Health LLC is 1417748393. It was assigned to this organization in the NPPES registry on May 13, 2025.

Where is Vida Medical Health LLC located?

Vida Medical Health LLC is located at 1508 Citrus Orchard Way, Valrico, FL 33594. The listed phone number is (626) 362-8941.

What is Vida Medical Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Vida Medical Health LLC enrolled in Medicare?

Yes. Vida Medical Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vida Medical Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vida Medical Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vida Medical Health LLC was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.