Vitalife Med LLC
NPI 1730017674ActiveOrganization· Nurse Practitioner, Family· Fort Myers, FL
Nurse Practitioner, Family in Fort Myers, Florida, registered in NPPES in May 2026. The authorized official on file is Lianet E. Coello Blanco, APRN, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730017674 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 11, 2026 |
| Last updated in NPPES | Jun 3, 2026 |
| Certified by provider | Jun 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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