VITAL PRIMARY CARE LLC NPI 1427882414

NPI Information

  • NPI: 1427882414
  • Provider Name: VITAL PRIMARY CARE LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D2307408
  • Address: 12640 WORLD PLAZA LN BLDG 71
    FORT MYERS, FL
    ZIP 33907
  • Phone: (786) 340-0260

Map and Directions

Get Directions

NPI Details

VITAL PRIMARY CARE LLC is a clinic center in Fort Myers, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). VITAL PRIMARY CARE LLC NPI is 1427882414. The provider is registered as an organization entity type.

The provider's business location address is:

12640 WORLD PLAZA LN BLDG 71
FORT MYERS, FL
ZIP 33907-987
Phone: (786) 340-0260

The provider's authorized official is Niels Moleiro .
The authorized official title is Cfo and has the following contact phone number (786) 340-0260.

The CLIA number assigned to this NPI record is 10D2307408 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2024 and was last updated on 2/27/2025.

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
1261Q00000XClinic/CenterYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI