Provider Demographics
NPI:1871236273
Name:DOCSBY AND VITAMINISE, LLC
Entity type:Organization
Organization Name:DOCSBY AND VITAMINISE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AO, APRN,CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HENSON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-362-2695
Mailing Address - Street 1:437 PANDA PL # 43
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-2688
Mailing Address - Country:US
Mailing Address - Phone:786-362-2695
Mailing Address - Fax:786-971-5777
Practice Address - Street 1:9753 S ORANGE BLOSSOM TRL STE 101
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-8998
Practice Address - Country:US
Practice Address - Phone:786-362-2695
Practice Address - Fax:786-971-5777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-14
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty