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

Vita Family Medicine and Medspa LLC

Organization Family Medicine Physician · NPI 1730532359

Vita Family Medicine and Medspa LLC provides Family Medicine Physician services in Leesburg, Virginia. Licensed in Virginia. Registered with an NPI since 2016.

Licensed in
VA
In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

540 Fort Evans Rd Ste 204
Leesburg, VA 20176-3379
Phone: (703) 737-3500
Fax: (703) 737-3550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (VA)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence 0101258315 (VA)

Record details

NPI number1730532359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Boudreau — Owner/Doctor · (717) 805-8264
NPI enumeratedJuly 19, 2016
Last updated in NPPESOctober 13, 2016
Mailing address540 Fort Evans Rd, Suite 204, Leesburg, VA 20176-3379

Other providers in Leesburg