VITAL CARE TELE NP LLC NPI 1124852173

NPI Information

  • NPI: 1124852173
  • Provider Name: VITAL CARE TELE NP LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 6826 ALISO AVE
    WEST PALM BEACH, FL
    ZIP 33413
  • Phone: (561) 503-0309

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NPI Details

VITAL CARE TELE NP LLC is a family nurse practitioner in West Palm Beach, FL. VITAL CARE TELE NP LLC NPI is 1124852173. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6826 ALISO AVE
WEST PALM BEACH, FL
ZIP 33413-036
Phone: (561) 503-0309

The provider's authorized official is Debbie Simone Gordon .
The authorized official title is Owner and has the following contact phone number (561) 503-0309.

The enumeration date for this NPI number is 8/30/2024 and was last updated on 10/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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