Organization · Type 2 NPI

American Vitality Medical Group, Llc.

Multi-Specialty Clinic/Center · Leesburg, FL

NPI number 1649026428 Active

Practice location

4120 Corley Island Rd Ste 500
Leesburg, FL 34748-8297

Mailing address

1100 Lake Dora Dr
Tavares, FL 32778-3529

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1649026428

American Vitality Medical Group, Llc.'s National Provider Identifier is 1649026428, issued on Apr 24, 2024. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Leesburg, FL. The record was last updated on Apr 24, 2024.