Organization · Type 2 NPI

Healthy MD Clinical, LLC F/k/a Independent Medical Group, LLC

Health Service Clinic/Center · Bonita Springs, FL

NPI number 1790376945 Active

Practice location

28420 Bonita Crossings Blvd Suite 130
Bonita Springs, FL 34135

Call (407) 314-7492 Map

Fax (833) 258-4230

Mailing address

6119 Lyons Rd
Coconut Creek, FL 33073-4740

Specialties and licenses

Taxonomy	Code	License
Health Service Clinic/Center Primary	261QH0100X	None listed

Health Service Clinic/Center: Definition to come...

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NPI record

NPI: 1790376945
Entity type: Organization (Type 2)
Issued: Jan 31, 2021
Last updated: May 14, 2025
Status: Active
Subpart: Yes of Healthy MD Clinical, LLC F/k/a Independent Medical Group, LLC

Other names

<unavail>
Independent Medical Group, LLC · former legal business name

Authorized official

Steve Vixamar
CEO
(800) 773-7066

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790376945

Healthy MD Clinical, LLC F/k/a Independent Medical Group, LLC's National Provider Identifier is 1790376945, issued on Jan 31, 2021. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Bonita Springs, FL. The record was last updated on May 14, 2025.