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BON VITAS MEDICAL LLC
NPI 1750027660
General Practice in Orlando, FL

Active since May 12, 2022CLIA 10D2277325 · Waiver
5979 VINELAND RD STE 209, ORLANDO, FL 32819(407) 592-0949 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bon Vitas Medical Llc NPPES

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

BON VITAS MEDICAL LLC (NPI 1750027660) is a healthcare organization registered as a general practice in Orlando, Florida and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through February 23, 2027 and lists Melissa Ortiz Miranda, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750027660
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBON VITAS MEDICAL LLC
Location Address5979 VINELAND RD STE 209Orlando, FL 32819-7855
Mailing Address15520 Waterleigh Cove DrWinter Garden, FL 34787-9208 · (407) 592-0949
Phone(407) 592-0949
Organization SubpartNo
Authorized OfficialMelissa Ortiz MirandaCeo · (407) 592-0949
Enumeration DateMay 12, 2022
Last NPPES UpdateMay 13, 2022
NPPES CertifiedMay 13, 2022
✔ NPI 1750027660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5979 VINELAND RD STE 209, Orlando, FL 32819
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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 MULTIPLE 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)

Bon Vitas Medical 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 Bon Vitas Medical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Melissa Ortiz Miranda, M.D.
Internal Medicine
NPI 1295063089
431 W OAK ST
Kissimmee, FL 34741
(407) 845-0330
✔ PECOS✔ Accepts Medicare13 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2277325

Bon Vitas Medical LLC · Winter Garden, FL
Active · expires Feb 23, 2027
CLIA Number10D2277325
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorMelissa Ortiz Miranda
Laboratory Phone(321) 270-5976
Laboratory LocationBon Vitas Medical LLC12200 W Colonial Dr Suite 202, Winter Garden, FL 34787
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Bon Vitas Medical LLC's NPI number?

The NPI number for Bon Vitas Medical LLC is 1750027660. It was assigned to this organization in the NPPES registry on May 12, 2022.

Where is Bon Vitas Medical LLC located?

Bon Vitas Medical LLC is located at 5979 Vineland Rd Ste 209, Orlando, FL 32819. The listed phone number is (407) 592-0949.

What is Bon Vitas Medical LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Bon Vitas Medical LLC enrolled in Medicare?

Yes. Bon Vitas Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bon Vitas Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Bon Vitas Medical 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.

Does Bon Vitas Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2277325) is associated with this NPI, valid through February 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bon Vitas Medical LLC was last updated on May 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.