American Vitality Medical Group, Llc.
LBN: American Vitality Medical Group, Llc.
American Vitality Medical Group, Llc. is an health care organization with primary practice located at 4120 Corley Island Rd Ste 500 , Leesburg FL 34748-8297. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
American Vitality Medical Group, Llc. can be contacted via phone (727) 415-7253, or through Rodante, Douglas via phone (727) 415-7253.
Contact Information
Primary practice address
4120 Corley Island Rd Ste 500
Leesburg FL 34748-8297
Phone: (727) 415-7253
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
NPI number | 1649026428 |
---|---|
LBN Legal business name | American Vitality Medical Group, Llc. |
DBA Doing business as | |
Authorized official | Rodante, Douglas |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 24th, 2024 |
Last updated | Apr 24th, 2024 - about 8 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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