Healthcare Provider Details

I. General information

NPI: 1154156784
Provider Name (Legal Business Name): VITALITY HOSPITALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14305 COLLIER BLVD
NAPLES FL
34119-9589
US

IV. Provider business mailing address

8112 FELISA CT
FORT MYERS FL
33912-8951
US

V. Phone/Fax

Practice location:
  • Phone: 239-281-9252
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCO QUILES -CRUZ
Title or Position: OWNER
Credential:
Phone: 239-281-9252