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Vitality Integrated Medical Network LLC

Gastroenterology Physician in Vero Beach, FL · enumerated 2023 · authorized official Allen Licht, Managing Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366136814

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Registry record

Entity type Organization (Type 2)
Legal business name Vitality Integrated Medical Network LLC
Practice address 275 18th St Ste 102, Vero Beach, FL, 32960
Fax (772) 299-3653
Enumeration date Jun 7, 2023
Last updated in NPPES Feb 2, 2024

Taxonomy & classification

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Primary
207RR0500X Rheumatology Physician Allopathic & Osteopathic Physicians Secondary
261QI0500X Infusion Therapy Clinic/Center Ambulatory Health Care Facilities Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Allen Licht
Title Managing Director

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Vitality Integrated Medical Network LLC?
Vitality Integrated Medical Network LLC is registered in NPPES as a Gastroenterology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-02.