Active NPI
Vitalidad of Cape Coral LLC
- Child & Adolescent Psychiatry Physician
- Cape Coral, FL
National Provider Identifier
1497179444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- VITALIDAD OF CAPE CORAL LLC
- Practice address
- 3101 SE 20TH PL
Cape Coral, FL 33904-4022 - Phone
- (239) 218-1607
- NPI assigned
- Feb 11, 2014
- Last updated
- Feb 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dov Rapoport, MD
- Title
- Ceo
- Phone
- (239) 218-1607
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | NU | Primary |
Addresses
Primary practice location
3101 SE 20TH PL
Cape Coral, FL 33904-4022
Mailing address
3101 SE 20TH PL
Cape Coral, FL 33904-4022
Phone (239) 218-1607
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Elgin, IL
- NPI 1376971176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393200000000",
"number": "1497179444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 SE 20TH PL",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339044022",
"telephone_number": "239-218-1607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 SE 20TH PL",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339044022",
"telephone_number": "239-218-1607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALIDAD OF CAPE CORAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-11",
"last_updated": "2014-02-24",
"status": "A",
"authorized_official_last_name": "RAPOPORT",
"authorized_official_first_name": "DOV",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "239-218-1607",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.