HEALTHY MD CLINICAL, LLC F/K/A INDEPENDENT MEDICAL GROUP, LLC
NPI 1518746460
Internal Medicine - Infectious Disease in Lakeland, FL

Q: What is Healthy MD Clinical, LLC F/K/A Independent Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Active since September 28, 2023CLIA 10D2177400 · Waiver

3900 S FLORIDA AVE STE 205, LAKELAND, FL 33813(800) 773-7066 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Healthy Md Clinical, Llc F/k/a Independent Medical Group, Llc NPPES

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

HEALTHY MD CLINICAL, LLC F/K/A INDEPENDENT MEDICAL GROUP, LLC (NPI 1518746460), doing business as Independent Medical Group, Llc, is a healthcare organization registered as an infectious disease in Lakeland, Florida and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through January 8, 2028 and lists Steve Vixamar, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518746460

Entity TypeOrganization

Primary Taxonomy207RI0200X

Legal Business NameHEALTHY MD CLINICAL, LLC F/K/A INDEPENDENT MEDICAL GROUP, LLC

Location Address3900 S FLORIDA AVE STE 205Lakeland, FL 33813-1150

Mailing Address6119 Lyons RdCoconut Creek, FL 33073-4740 · (800) 773-7066

Phone(800) 773-7066

Organization SubpartYes

Authorized OfficialSteve VixamarCeo · (800) 773-7066

Enumeration DateSeptember 28, 2023

Last NPPES UpdateMay 14, 2025

NPPES CertifiedMay 14, 2025

✔ NPI 1518746460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

3900 S FLORIDA AVE STE 205, Lakeland, FL 33813

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Other Names 1

Former Legal Business NameIndependent Medical Group, Llc

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 10D2177400

Healthy MD Clinical, LLC · Lakeland, FL

Active · expires Jan 8, 2028

CLIA Number10D2177400

Laboratory TypeHiv/Sti Testing Clinic

Certificate Effective DateJanuary 9, 2026

Certificate Expiration DateJanuary 8, 2028

Laboratory DirectorVictor Kishma

Laboratory Phone(954) 526-4121

Laboratory LocationHealthy MD Clinical, LLC3900 S Florida Ave - Ste 205, Lakeland, FL 33813

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MELANIE HOWARD LMHC

Counselor (Mental Health)

3900 S FLORIDA AVE STE 205
LAKELAND, FL 33813

Polk County (863) 398-7678

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 Healthy MD Clinical, LLC F/K/A Independent Medical Group, LLC's NPI number?

The NPI number for Healthy MD Clinical, LLC F/K/A Independent Medical Group, LLC is 1518746460. It was assigned to this organization in the NPPES registry on September 28, 2023. The provider was formerly known as Independent Medical Group, LLC.

Where is Healthy MD Clinical, LLC F/K/A Independent Medical Group, LLC located?

Healthy MD Clinical, LLC F/K/A Independent Medical Group, LLC is located at 3900 S Florida Ave Ste 205, Lakeland, FL 33813. The listed phone number is (800) 773-7066.

What is Healthy MD Clinical, LLC F/K/A Independent Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Does Healthy MD Clinical, LLC F/K/A Independent Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2177400) is associated with this NPI, valid through January 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healthy MD Clinical, LLC F/K/A Independent Medical Group, LLC was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.