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VITALIFE MED LLC
NPI 1730017674
Nurse Practitioner - Family in Fort Myers, FL

Active since May 11, 2026
2540 WINKLER AVE STE 1, FORT MYERS, FL 33901(239) 347-0810(754) 229-5558 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, May 11, 2026 (2 updates tracked since 2026).

About Vitalife Med Llc NPPES

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

VITALIFE MED LLC (NPI 1730017674) is a healthcare organization registered as a family in Fort Myers, Florida and active in the NPI registry since May 2026. The organization lists Lianet E Coello Blanco, President, as its authorized official.

NPPES Registry Identity

NPI1730017674
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVITALIFE MED LLC
Location Address2540 WINKLER AVE STE 1Fort Myers, FL 33901-9338
Mailing Address2540 Winkler Ave Ste 1Fort Myers, FL 33901-9338 · (239) 347-0810 · Fax (754) 229-5558
Phone(239) 347-0810
Fax(754) 229-5558
Organization SubpartNo
Authorized OfficialLianet E Coello BlancoPresident · (239) 347-0810
Enumeration DateMay 11, 2026
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1730017674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2540 WINKLER AVE STE 1, Fort Myers, FL 33901
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Vitalife Med LLC's NPI number?

The NPI number for Vitalife Med LLC is 1730017674. It was assigned to this organization in the NPPES registry on May 11, 2026.

Where is Vitalife Med LLC located?

Vitalife Med LLC is located at 2540 Winkler Ave Ste 1, Fort Myers, FL 33901. The listed phone number is (239) 347-0810.

What is Vitalife Med LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Vitalife Med LLC was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.