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

Vita Sana Lifestyle Medicine

Organization Medical Physician Assistant · NPI 1225988041

Vita Sana Lifestyle Medicine is a Medical Physician Assistant 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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