NPIMap

Organization Active NPI

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

  • Infectious Disease Physician
  • Tallahassee, FL
National Provider Identifier
1285337865
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
HEALTHY MD CLINICAL, LLC F/K/A INDEPENDENT MEDICAL GROUP, LLC
Practice address
411 Office Plaza Dr
Tallahassee, FL 32301-2756
Phone
(800) 773-7066
NPI assigned
Mar 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Steve Vixamar
Title
Ceo
Phone
(800) 773-7066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

411 Office Plaza Dr
Tallahassee, FL 32301-2756

Mailing address

6119 Lyons Rd
Coconut Creek, FL 33073-4740
Phone (407) 860-0283

Other names 1

  • Independent Medical Group, LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.healthymd.com

National Provider Directory

National Provider Directory
Tax ID family
Independent Medical Group LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6119 Lyons Rd
Coconut Creek, FL 33073
Phone (800) 773-7066

411 Office Plaza Dr
Tallahassee, FL 32301
Phone (800) 773-7066

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1285337865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734740",
            "telephone_number": "407-860-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 OFFICE PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012756",
            "telephone_number": "800-773-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MD CLINICAL, LLC F/K/A INDEPENDENT MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "VIXAMAR",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-773-7066"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.healthymd.com",
            "affiliation": "N",
            "address_1": "411 Office Plaza Dr",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323012756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Independent Medical Group, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.