VITALITY INTEGRATED MEDICAL NETWORK LLC – Gastroenterology Physician, NPI 1366136814

VITALITY INTEGRATED MEDICAL NETWORK LLC is a healthcare provider. based in Sebastian, Florida. specializing in Gastroenterology Physician. The NPI Number for VITALITY INTEGRATED MEDICAL NETWORK LLC is 1366136814

Main info

Organization
Name
VITALITY INTEGRATED MEDICAL NETWORK LLC
NPI
1366136814
Phone
(772) 589-9071
Address
13845 US Highway 1
Authorized Official
ALLEN LICHT MANAGING DIRECTOR
Enumeration Date
7 June 2023
Last Update Date
2 February 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:3State licenses:0Digital endpointsOther names

Provider Addresses for VITALITY INTEGRATED MEDICAL NETWORK LLC

  • 13845 US Highway 1

    Sebastian, FL 329583232

    Phone: (772) 589-9071

    Fax: (772) 299-3653

    Type: Location

  • PO BOX 8929

    CORAL SPRINGS, FL 330758929

    Phone:

    Type: Mailing

  • 275 18TH ST STE 102

    VERO BEACH, FL 329600824

    Phone: (772) 562-6818

    Fax: (772) 299-3653

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32958)

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Reviews

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Frequently asked questions

Is there an official ID for VITALITY INTEGRATED MEDICAL NETWORK LLC in U.S. healthcare records?
The official identifier for VITALITY INTEGRATED MEDICAL NETWORK LLC is NPI 1366136814.
Active or inactive — what applies to VITALITY INTEGRATED MEDICAL NETWORK LLC?
You should see VITALITY INTEGRATED MEDICAL NETWORK LLC as active in CMS-hosted NPPES data.
What clinical focus is listed for VITALITY INTEGRATED MEDICAL NETWORK LLC?
At a glance, VITALITY INTEGRATED MEDICAL NETWORK LLC is tied to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with VITALITY INTEGRATED MEDICAL NETWORK LLC?
Directory geography for VITALITY INTEGRATED MEDICAL NETWORK LLC centers on Sebastian, Florida.
When was this NPI issued?
Enumeration for VITALITY INTEGRATED MEDICAL NETWORK LLC is noted as June 7, 2023 where the registry provides it.

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