Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vietrulife Medical Spa Corp

Organization General Practice Physician · NPI 1518673433

Vietrulife Medical Spa Corp is a General Practice Physician 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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