OrganizationActive
Vitaglide, LLC
NPI 1023743879 · Durable Medical Equipment & Medical Supplies · Rockledge, FL
Provider details
- NPI number
- 1023743879
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Marcelyn Ullom, Chief Executive Officer(305) 514-0514
Specialties & taxonomies
Suppliers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
419 Hawk St
Rockledge, FL 32955-3291
Phone: (305) 514-0514
Street-level locationGet directions
Mailing address
2445 Riverview Dr Ne
Palm Bay, FL 32905-2515
Other names (DBA / former)
- Doing business as
- Vitaglide, LLC
Registry dates
- Enumerated
- 2022-07-17
- Last updated
- 2022-07-17
- Certified
- 2022-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.