Elevated Vitality Wellness

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ELEVATED VITALITY WELLNESS

Practice address

12008 S Shore Blvd Ste 107
Wellington, FL 33414-6395

Phone

(561) 704-6781

NPI assigned

May 18, 2026

Organization subpart

No

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

Authorized official

Name

Randy Herfield

Title

MBR

Phone

(561) 704-6781

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1437088192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14618 64TH CT N",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12008 S SHORE BLVD STE 107",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146395",
            "telephone_number": "561-704-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED VITALITY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "HERFIELD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "561-704-6781"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Wellington, FL
• Providers in Wellington, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.