Vitality Integrated Medical Network LLC
NPI 1366136814 · Gastroenterology Physician · Vero Beach, FL
Vitality Integrated Medical Network LLC is a Gastroenterology Physician organization in Vero Beach, FL (NPI 1366136814).
Provider details
- NPI number
- 1366136814
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Allen Licht, Managing Director(954) 906-9536
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Infusion Therapy Clinic/Center261QI0500X
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Rheumatology Physician207RR0500X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Additional practice locations (1)
- 13845 US Highway 1Sebastian, FL 32958-3232Phone: (772) 589-9071Fax: (772) 299-3653
Registry dates
- Enumerated
- 2023-06-07
- Last updated
- 2024-02-02
- Certified
- 2024-02-02
Frequently asked questions
- What is Vitality Integrated Medical Network LLC's NPI number?
- Vitality Integrated Medical Network LLC's National Provider Identifier (NPI) is 1366136814, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vitality Integrated Medical Network LLC?
- Vitality Integrated Medical Network LLC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Vitality Integrated Medical Network LLC located?
- Vitality Integrated Medical Network LLC's practice location on file with NPPES is 275 18th St Ste 102, Vero Beach, FL 32960-0824.
- What is Vitality Integrated Medical Network LLC's phone number?
- The practice phone number listed in the NPPES registry for Vitality Integrated Medical Network LLC is (772) 562-6818.
- Who is the authorized official for Vitality Integrated Medical Network LLC?
- The authorized official listed on Vitality Integrated Medical Network LLC's NPPES record is Allen Licht, Managing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vitality Integrated Medical Network LLC's NPI active?
- Yes — Vitality Integrated Medical Network LLC's NPI (1366136814) is active in the NPPES registry as of the last update on 2024-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.