MEDVITAL PHYSICIAN CARE GROUP
NPI 1538614433
Clinic/Center in Kissimmee, FL

Active since August 20, 2016
102 PARK PLACE BLVD, KISSIMMEE, FL 34741(407) 847-5805 Get Directions Write a Review

NPPES record last updated: August 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medvital Physician Care Group NPPES

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

MEDVITAL PHYSICIAN CARE GROUP (NPI 1538614433) is a healthcare organization registered as a clinic/center in Kissimmee, Florida and active in the NPI registry since August 2016. The organization lists Saadia Fersobe, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1538614433
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMEDVITAL PHYSICIAN CARE GROUP
Location Address102 PARK PLACE BLVDKissimmee, FL 34741-2358
Mailing Address102 Park Place BlvdKissimmee, FL 34741-2358
Organization SubpartNo
Authorized OfficialSaadia FersobeMedical Director · (407) 847-5805
Enumeration DateAugust 20, 2016
NPI 1538614433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in FL · ACN684
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
102 PARK PLACE BLVD, Kissimmee, FL 34741

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
102 PARK PLACE BLVD
KISSIMMEE, FL 34741
Behavior Technician
102 PARK PLACE BLVD
KISSIMMEE, FL 34741
Behavior Technician
102 PARK PLACE BLVD
KISSIMMEE, FL 34741
Podiatrist (Foot & Ankle Surgery)
102 PARK PLACE BLVD
KISSIMMEE, FL 34741
Nurse Practitioner (Family)
102 PARK PLACE BLVD
KISSIMMEE, FL 34741
Behavior Technician
102 PARK PLACE BLVD
KISSIMMEE, FL 34741
Behavior Technician
102 PARK PLACE BLVD
KISSIMMEE, FL 34741
Internal Medicine (Infectious Disease)
102 PARK PLACE BLVD, BLDG D, SUITE 2 & 3
KISSIMMEE, FL 34741

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 Medvital Physician Care Group's NPI number?

The NPI number for Medvital Physician Care Group is 1538614433. It was assigned to this organization in the NPPES registry on August 20, 2016.

Where is Medvital Physician Care Group located?

Medvital Physician Care Group is located at 102 Park Place Blvd, Kissimmee, FL 34741. The listed phone number is (407) 847-5805.

What is Medvital Physician Care Group's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Medvital Physician Care Group was last updated on August 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.