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VITALITY INTEGRATED MEDICAL NETWORK LLC
NPI 1366136814
Internal Medicine - Gastroenterology in Vero Beach, FL

Active since June 07, 2023
275 18TH ST STE 102, VERO BEACH, FL 32960(772) 562-6818(772) 299-3653 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 27, 2023, Jun 7, 2023 (2 updates tracked since 2023).

About Vitality Integrated Medical Network Llc NPPES

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

VITALITY INTEGRATED MEDICAL NETWORK LLC (NPI 1366136814) is a healthcare organization registered as a gastroenterology in Vero Beach, Florida and active in the NPI registry since June 2023. The organization maintains a secondary practice location in Sebastian and lists Allen Licht, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1366136814
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameVITALITY INTEGRATED MEDICAL NETWORK LLC
Location Address275 18TH ST STE 102Vero Beach, FL 32960-0824
Mailing AddressPo Box 8929Coral Springs, FL 33075-8929
Phone(772) 562-6818
Fax(772) 299-3653
Organization SubpartNo
Authorized OfficialAllen LichtManaging Director · (954) 906-9536
Enumeration DateJune 7, 2023
Last NPPES UpdateFebruary 2, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2024
✔ NPI 1366136814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
275 18TH ST STE 102, Vero Beach, FL 32960
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Secondary Practice Location 1

Location 113845 US Highway 1Sebastian, FL 32958-3232 · Phone (772) 589-9071 · Fax (772) 299-3653

Other Providers at the Same Location NPPES 2

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

MR. GEORGE ESTOL WADSWORTH NP-C
Nurse Practitioner (Family)
275 18TH ST STE 102
VERO BEACH, FL 32960
Indian River County (772) 559-9998
ALEJANDRO PEREZ D.O.
Internal Medicine (Gastroenterology)
275 18TH ST STE 102
VERO BEACH, FL 32960
Indian River County (772) 562-6818

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 Integrated Medical Network LLC's NPI number?

The NPI number for Vitality Integrated Medical Network LLC is 1366136814. It was assigned to this organization in the NPPES registry on June 7, 2023.

Where is Vitality Integrated Medical Network LLC located?

Vitality Integrated Medical Network LLC is located at 275 18th St Ste 102, Vero Beach, FL 32960. The listed phone number is (772) 562-6818.

What is Vitality Integrated Medical Network LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Vitality Integrated Medical Network LLC was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.