OrganizationActive
American Vitality Medical Group, LLC.
NPI 1649026428 · Multi-Specialty Clinic/Center · Leesburg, FL
Provider details
- NPI number
- 1649026428
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Douglas Rodante, President
Practice location
4120 Corley Island Rd Ste 500
Leesburg, FL 34748-8297
Phone: (727) 415-7253
Mailing address
1100 Lake Dora Dr
Tavares, FL 32778-3529
Registry dates
- Enumerated
- 2024-04-24
- Last updated
- 2024-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.