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VITALLY DOC
NPI 1720971328
Internal Medicine in Fort Myers, FL

Active since June 02, 2025
4755 SUMMERLIN RD STE 2, FORT MYERS, FL 33919(239) 842-6816(239) 221-0478 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vitally Doc NPPES

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

VITALLY DOC (NPI 1720971328), doing business as Vitally Doc Integrative Medicine, is a healthcare organization registered as an internal medicine in Fort Myers, Florida and active in the NPI registry since June 2025. The organization lists Mayelin Carpio, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720971328
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVITALLY DOC
Location Address4755 SUMMERLIN RD STE 2Fort Myers, FL 33919-1073
Mailing Address4755 Summerlin Rd Ste 2Fort Myers, FL 33919-1073 · (239) 842-6816 · Fax (239) 221-0478
Phone(239) 842-6816
Fax(239) 221-0478
Organization SubpartNo
Authorized OfficialMayelin CarpioCeo · (239) 842-6816
Enumeration DateJune 2, 2025
Last NPPES UpdateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1720971328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4755 SUMMERLIN RD STE 2, Fort Myers, FL 33919
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Other Names 1

Doing Business AsVitally Doc Integrative Medicine

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

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.

STAR QUALITY HEALTH CARE LLC
Clinical Nurse Specialist (Gerontology)
4755 SUMMERLIN RD STE 2
FORT MYERS, FL 33919
Lee County (239) 362-2505
RITA LUSINETE RABITT ARNP
Nurse Practitioner (Gerontology)
4755 SUMMERLIN RD STE 2
FORT MYERS, FL 33919
Lee County (239) 410-6505

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 Vitally Doc's NPI number?

The NPI number for Vitally Doc is 1720971328. It was assigned to this organization in the NPPES registry on June 2, 2025. The provider is doing business as Vitally doc Integrative Medicine.

Where is Vitally Doc located?

Vitally Doc is located at 4755 Summerlin Rd Ste 2, Fort Myers, FL 33919. The listed phone number is (239) 842-6816.

What is Vitally Doc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Vitally Doc was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.