| Vital Primary Care LLC | |
|
12640 World Plaza Ln Bldg 71 Fort Myers FL 33907-3987 | |
| (786) 340-0260 | |
| Not Available |
| Full Name | Vital Primary Care LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 12640 World Plaza Ln Bldg 71, Fort Myers, Florida |
| Authorized Official Name and Position | Niels Moleiro (CFO) |
| Authorized Official Contact | 7863400260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Primary Care LLC 12640 World Plaza Ln Bldg 71 Fort Myers FL 33907-3987 Ph: (786) 340-0260 | Vital Primary Care LLC 12640 World Plaza Ln Bldg 71 Fort Myers FL 33907-3987 Ph: (786) 340-0260 |
| NPI Number | 1427882414 |
|---|---|
| Provider Enumeration Date | 08/30/2024 |
| Last Update Date | 02/27/2025 |
| Certification Date | 02/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427882414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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