VITALITY FAMILY CHIROPRACTIC AND WELLNESS CENTER
NPI 1184108557
Chiropractor in Jacksonville, FL

Active since September 20, 2018CLIA 10D2239885 · Waiver
3636 UNIVERSITY BLVD S STE B3, JACKSONVILLE, FL 32216(904) 434-3465(904) 802-7977 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2021, Sep 20, 2018 (2 updates tracked since 2018).

About Vitality Family Chiropractic And Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALITY FAMILY CHIROPRACTIC AND WELLNESS CENTER (NPI 1184108557) is a healthcare organization registered as a chiropractor in Jacksonville, Florida and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Yamilette Marie Lopez Rivera, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184108557
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameVITALITY FAMILY CHIROPRACTIC AND WELLNESS CENTER
Location Address3636 UNIVERSITY BLVD S STE B3Jacksonville, FL 32216-4223
Mailing Address3636 University Blvd S Ste B3Jacksonville, FL 32216-4223 · (904) 434-3465 · Fax (904) 802-7977
Fax(904) 802-7977
Organization SubpartNo
Authorized OfficialYamilette Marie Lopez RiveraCeo · (904) 434-3465
Enumeration DateSeptember 20, 2018
Last NPPES UpdateSeptember 22, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
NPI 1184108557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3636 UNIVERSITY BLVD S STE B3, Jacksonville, FL 32216

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2239885

Vitality Family Chiropractic & Wellness Ctr · Jacksonville, FL
Active · expires Oct 13, 2027
CLIA Number10D2239885
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorYamilette M. Lopez Rivera
Laboratory Phone(904) 434-3465
Laboratory LocationVitality Family Chiropractic & Wellness Ctr3636 University Blvd S Ste B3, Jacksonville, FL 32216
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3636 UNIVERSITY BLVD S STE B3
JACKSONVILLE, FL 32216
Chiropractor
3636 UNIVERSITY BLVD S STE B3
JACKSONVILLE, FL 32216
Chiropractor
3636 UNIVERSITY BLVD S STE B3
JACKSONVILLE, FL 32216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitality Family Chiropractic And Wellness Center's NPI number?

The NPI number for Vitality Family Chiropractic And Wellness Center is 1184108557. It was assigned to this organization in the NPPES registry on September 20, 2018.

Where is Vitality Family Chiropractic And Wellness Center located?

Vitality Family Chiropractic And Wellness Center is located at 3636 University Blvd S Ste B3, Jacksonville, FL 32216. The listed phone number is (904) 434-3465.

What is Vitality Family Chiropractic And Wellness Center's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Does Vitality Family Chiropractic And Wellness Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2239885) is associated with this NPI, valid through October 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vitality Family Chiropractic And Wellness Center was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.