OrganizationActive
Vita Sana Lifestyle Medicine
NPI 1225988041 · Medical Physician Assistant · Orlando, FL
Provider details
- NPI number
- 1225988041
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Russell Smith, Owner/Provider(978) 895-0270
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
425 W Colonial Dr Ste 101
Pmb 451
Orlando, FL 32804-6863
Phone: (407) 476-6040
Street-level locationGet directions
Mailing address
425 W Colonial Dr Ste 101
Orlando, FL 32804-6863
Registry dates
- Enumerated
- 2026-01-31
- Last updated
- 2026-01-31
- Certified
- 2026-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.