VITACORE LLC NPI 1639987431

NPI Information

  • NPI: 1639987431
  • Provider Name: VITACORE LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 34D2319450
  • Address: 375 SE BROAD ST
    SOUTHERN PINES, NC
    ZIP 28387
  • Phone: (910) 690-6894

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NPI Details

VITACORE LLC is an internal medicine in Southern Pines, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. VITACORE LLC NPI is 1639987431. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

375 SE BROAD ST
SOUTHERN PINES, NC
ZIP 28387-057
Phone: (910) 690-6894
Fax: (910) 725-0033

The provider's authorized official is Philip Mondi .
The authorized official title is Owner and has the following contact phone number (910) 690-6894.

The CLIA number assigned to this NPI record is 34D2319450 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/26/2024 and was last updated on 9/29/2025.

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
1363A00000XPhysician AssistantNo
2207R00000XInternal MedicineYes

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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