Organization Active NPI

Vital Health & Wellness Group, LLC

  • Family Medicine Physician
  • Cooper City, FL
National Provider Identifier
1053149484
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VITAL HEALTH & WELLNESS GROUP, LLC
Practice address
9532 Griffin Rd
Cooper City, FL 33328-3416
Phone
(786) 475-2291
Fax
(232) 576-4922
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andy Garcia
Title
Owner/Lead Provider
Phone
(786) 475-2291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9532 Griffin Rd
Cooper City, FL 33328-3416

Mailing address

9532 Griffin Rd
Cooper City, FL 33328-3416
Phone (786) 475-2291

Other practice location 1

760 NW 107th Ave Ste 340
Miami, FL 33172-3157
Phone (786) 475-2291

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2273117Vital Health & Wellness Group, LLC9532 Griffin Rd, Cooper City, FL 33328Certificate of waiverDec 6, 2026

National Provider Directory

National Provider Directory

Locations

760 NW 107th Ave
Ste 340
Miami, FL 33172
Phone (786) 475-2291

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1053149484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9532 GRIFFIN RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283416",
            "telephone_number": "786-475-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9532 GRIFFIN RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283416",
            "telephone_number": "786-475-2291",
            "fax_number": "232-576-4922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 NW 107th Ave Ste 340",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331723157",
            "country_code": "US",
            "telephone_number": "786-475-2291",
            "fax_number": "223-257-6492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITAL HEALTH & WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "OWNER/LEAD PROVIDER",
        "authorized_official_telephone_number": "786-475-2291"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.