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

Vita Sana Lifestyle Medicine

Organization Medical Physician Assistant · NPI 1225988041

Vita Sana Lifestyle Medicine provides Medical Physician Assistant services in Orlando, Florida. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

425 W Colonial Dr Ste 101 Pmb 451
Orlando, FL 32804-6863
Phone: (407) 476-6040
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1225988041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Smith — Owner/Provider · (978) 895-0270
NPI enumeratedJanuary 31, 2026
Last updated in NPPESJanuary 31, 2026
Certification dateJanuary 30, 2026
Mailing address425 W Colonial Dr Ste 101, Pmb 451, Orlando, FL 32804-6863

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