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VITACORE MEDICAL GROUP, PLLC
NPI 1720866213
Nurse Practitioner in Indialantic, FL

Active since September 18, 2023
223 PEREGRINE DRIVE, INDIALANTIC, FL 32903(321) 292-2740(878) 453-1836 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vitacore Medical Group, Pllc NPPES

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

VITACORE MEDICAL GROUP, PLLC (NPI 1720866213) is a healthcare organization registered as a nurse practitioner in Indialantic, Florida and active in the NPI registry since September 2023. The organization lists Michael William Stainton, Owner, as its authorized official.

NPPES Registry Identity

NPI1720866213
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameVITACORE MEDICAL GROUP, PLLC
Location Address223 PEREGRINE DRIVEIndialantic, FL 32903
Mailing Address870 N Miramar Ave Unit 233Indialantic, FL 32903-3054 · (321) 292-2740 · Fax (878) 453-1836
Phone(321) 292-2740
Fax(878) 453-1836
Organization SubpartNo
Authorized OfficialMichael William StaintonOwner · (321) 292-2740
Enumeration DateSeptember 18, 2023
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 4, 2024
✔ NPI 1720866213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
223 PEREGRINE DRIVE, Indialantic, FL 32903
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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

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 Vitacore Medical Group, PLLC's NPI number?

The NPI number for Vitacore Medical Group, PLLC is 1720866213. It was assigned to this organization in the NPPES registry on September 18, 2023.

Where is Vitacore Medical Group, PLLC located?

Vitacore Medical Group, PLLC is located at 223 Peregrine Drive, Indialantic, FL 32903. The listed phone number is (321) 292-2740.

What is Vitacore Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Vitacore Medical Group, PLLC was last updated on January 9, 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.