VITALITY INTEGRATED MEDICAL NETWORK LLC – NPI #1366136814
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

VITALITY INTEGRATED MEDICAL NETWORK LLC is a provider located in VERO BEACH, FL. NPPES has assigned the NPI number 1366136814 to VITALITY INTEGRATED MEDICAL NETWORK LLC on June 07, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 2 years ago on Feb 02, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VITALITY INTEGRATED MEDICAL NETWORK LLC below.

NPI Profile for
VITALITY INTEGRATED MEDICAL NETWORK LLC

NPI Number
1366136814
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VITALITY INTEGRATED MEDICAL NETWORK LLC
Primary location
275 18TH ST STE 102
VERO BEACH, FL 32960-0824
Phone: (772) 562-6818 Fax: (772) 299-3653
1 Other location(s):
13845 US Highway 1
Sebastian, FL 32958-3232
Phone: (772) 589-9071
Fax: (772) 299-3653
Mailing address
PO BOX 8929
CORAL SPRINGS, FL 33075-8929
Phone: Fax:
Organization Subpart
No
Authorized Official
ALLEN LICHT
MANAGING DIRECTOR
Phone: (954) 906-9536
Updated
Certification Date
Feb 02, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.