Provider Demographics
NPI:1962385468
Name:VITAL CARE FAMILY PRACTICE P.C.
Entity type:Organization
Organization Name:VITAL CARE FAMILY PRACTICE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:FREDDY
Authorized Official - Middle Name:F
Authorized Official - Last Name:FLORES-FERRERAS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:484-955-0216
Mailing Address - Street 1:725 N LACROSSE ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18109-1931
Mailing Address - Country:US
Mailing Address - Phone:484-955-0216
Mailing Address - Fax:
Practice Address - Street 1:1220 CENTRE AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-1458
Practice Address - Country:US
Practice Address - Phone:610-898-1200
Practice Address - Fax:610-898-7600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty