OrganizationActive
Vivant Medical Group LLC
NPI 1124652425 · General Practice Physician · Tampa, FL
Vivant Medical Group LLC is a General Practice Physician organization in Tampa, FL (NPI 1124652425).
Provider details
- NPI number
- 1124652425
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daphnee Moise-Johnson, President(800) 574-9491
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6214 Memorial Hwy Ste B
Tampa, FL 33615-4507
Phone: (800) 574-9491
Fax: (800) 547-2802
Street-level locationGet directions
Mailing address
6214 Memorial Hwy Ste B
Tampa, FL 33615-4507
Additional practice locations (1)
- 15600 Hancock RdSarasota, FL 34240-6701Phone: (813) 924-5210
Registry dates
- Enumerated
- 2020-02-25
- Last updated
- 2021-07-06
- Certified
- 2021-07-06
Frequently asked questions
- What is Vivant Medical Group LLC's NPI number?
- Vivant Medical Group LLC's National Provider Identifier (NPI) is 1124652425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vivant Medical Group LLC?
- Vivant Medical Group LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Vivant Medical Group LLC located?
- Vivant Medical Group LLC's practice location on file with NPPES is 6214 Memorial Hwy Ste B, Tampa, FL 33615-4507.
- What is Vivant Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Vivant Medical Group LLC is (800) 574-9491.
- Who is the authorized official for Vivant Medical Group LLC?
- The authorized official listed on Vivant Medical Group LLC's NPPES record is Daphnee Moise-Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vivant Medical Group LLC's NPI active?
- Yes — Vivant Medical Group LLC's NPI (1124652425) is active in the NPPES registry as of the last update on 2021-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.