Vital Radiance Wellness, Llc

LBN: Vital Radiance Wellness, Llc
Vital Radiance Wellness, Llc is an health care organization with primary practice located at 29 W Smith St , Winter Garden FL 34787-3582. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Vital Radiance Wellness, Llc can be contacted via phone (407) 974-3500, or through Luczywo, Christopher Wayne via phone (407) 974-3500.

Contact Information

Primary practice address
29 W Smith St Winter Garden FL 34787-3582
Phone: (407) 974-3500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Luczywo, Christopher Wayne
Phone: (407) 974-3500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 2083B0002X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1306726658
LBN Legal business name Vital Radiance Wellness, Llc
DBA Doing business as
Authorized official Luczywo, Christopher Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2025
Last updated Sep 6th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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