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

Vita Luxe, LLC

Organization Facial Plastic Surgery Physician · NPI 1093628786

Vita Luxe, LLC provides Facial Plastic Surgery Physician services in Salt Lake City, Utah. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6322 S 3000 E Ste 170
Salt Lake City, UT 84121-7290
Phone: (801) 513-3223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X

Record details

NPI number1093628786
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Poulsen — Managing Member · (559) 313-6472
NPI enumeratedSeptember 24, 2026
Last updated in NPPESSeptember 24, 2026
Certification dateSeptember 24, 2026
Mailing address6322 S 3000 E Ste 170, Salt Lake City, UT 84121-7290

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