VITAL PRIMARY CARE LLC
NPI 1427882414
Clinic/Center in Fort Myers, FL
NPI Status: Active since August 30, 2024
Contact Information
12640 WORLD PLAZA LN BLDG 71
FORT MYERS, FL
ZIP 33907
Phone: (786) 340-0260
- Organization
- Clinic/Center
- CLIA Number: 10D2307408
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-08-2026
About VITAL PRIMARY CARE LLC
This page provides the complete NPI Profile along with additional information for Vital Primary Care Llc, a provider established in Fort Myers, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1427882414 assigned on August 2024. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated February 2025. The authorized official of this NPI record is Niels Moleiro (Cfo)
- NPI
- 1427882414
- Provider Name
- VITAL PRIMARY CARE LLC
- Entity Type
- Organization
- Location Address
- 12640 WORLD PLAZA LN BLDG 71 FORT MYERS, FL 33907
- Location Phone
- (786) 340-0260
- Mailing Address
- 12640 WORLD PLAZA LN BLDG 71 FORT MYERS, FL 33907
- Mailing Phone
- (786) 340-0260
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-30-2024
- Last Update Date
- 02-27-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2307408
- Facility Type
- Physician Office
- Certificate Effective Date
- July 09, 2024
- Certificate Expiration Date
- July 08, 2026
- Laboratory Director
- NURIA DE LA PORTILLA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Vital Primary Care Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 8 | 8 | 2 | 4 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 16 | 8 | 4 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 1 + 6 + 8 + 4 + 4 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1427882414 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154433944 | FELINDA T RUBIN ARNP Individual | Nurse Practitioner (Family) | 12640 WORLD PLAZA LN BLDG 71 FORT MYERS, FL 33907 (239) 275-8898 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427882414, enumerated in the NPI registry as an "organization" on August 30, 2024
The provider is located at 12640 World Plaza Ln Bldg 71 Fort Myers, Fl 33907 and the phone number is (786) 340-0260
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider's CLIA number is 10D2307408 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 30, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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