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VITAL HEALTH CENTER LLC
NPI 1700697422
General Practice in Port St Lucie, FL

Active since January 14, 2025CLIA 10D2332392 · Waiver
1479 SW GATLIN BLVD, PORT ST LUCIE, FL 34953(561) 880-9880 Get Directions Write a Review

NPPES record last updated: March 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vital Health Center Llc NPPES

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

VITAL HEALTH CENTER LLC (NPI 1700697422) is a healthcare organization registered as a general practice in Port St Lucie, Florida and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Nerlyn Jestine, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700697422
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameVITAL HEALTH CENTER LLC
Location Address1479 SW GATLIN BLVDPort St Lucie, FL 34953
Mailing Address1479 Sw Gatlin BlvdPort St Lucie, FL 34953
Phone(561) 880-9880
Organization SubpartNo
Authorized OfficialNerlyn JestineCeo · (561) 880-9880
Enumeration DateJanuary 14, 2025
Last NPPES UpdateMarch 8, 2025
NPPES CertifiedMarch 8, 2025
✔ NPI 1700697422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
1479 SW GATLIN BLVD, Port St Lucie, FL 34953
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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 10D2332392

Vital Health Center LLC · Port Saint Lucie, FL
Active · expires Oct 19, 2027
CLIA Number10D2332392
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorNerlyn Jestine
Laboratory Phone(772) 204-2114
Laboratory LocationVital Health Center LLC1479 SW Gatlin Blvd, Port Saint Lucie, FL 34953
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Vital Health Center LLC's NPI number?

The NPI number for Vital Health Center LLC is 1700697422. It was assigned to this organization in the NPPES registry on January 14, 2025.

Where is Vital Health Center LLC located?

Vital Health Center LLC is located at 1479 SW Gatlin Blvd, Port St Lucie, FL 34953. The listed phone number is (561) 880-9880.

What is Vital Health Center LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Vital Health Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2332392) is associated with this NPI, valid through October 19, 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 Vital Health Center LLC was last updated on March 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.