Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Vietrulife Medical Spa Corp

Organization General Practice Physician · NPI 1518673433

Vietrulife Medical Spa Corp provides General Practice Physician services in Kissimmee, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

216 Broadway
Kissimmee, FL 34741-5768
Phone: (407) 910-4040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1518673433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angel Rivera — Cfo · (321) 333-2573
Other names Vietrulife Medical Spa
NPI enumeratedJanuary 24, 2023
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023
Mailing address3772 Eagle Isle Cir, Kissimmee, FL 34746-1907

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