NPIMap

Organization Active NPI

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

  • Infectious Disease Physician
  • Lakeland, FL
National Provider Identifier
1518746460
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
3900 S Florida Ave Ste 205
Lakeland, FL 33813-1150
Phone
(800) 773-7066
NPI assigned
Sep 28, 2023
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHY MD CLINICAL, LLC F/K/A INDEPENDENT MEDICAL GROUP, LLCAs reported in NPPES

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 Physician 207RI0200X NU Primary

Addresses

Primary practice location

3900 S Florida Ave Ste 205
Lakeland, FL 33813-1150

Mailing address

6119 Lyons Rd
Coconut Creek, FL 33073-4740
Phone (800) 773-7066

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
Part of
Independent Medical Group LLC

Other organizations with this tax ID 12

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

Locations

3900 S Florida Ave
Ste 205
Lakeland, FL 33813
Phone (800) 773-7066

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1518746460",
    "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": "800-773-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 S FLORIDA AVE STE 205",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131150",
            "telephone_number": "800-773-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MD CLINICAL, LLC F/K/A INDEPENDENT MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHY MD CLINICAL, LLC F/K/A INDEPENDENT MEDICAL GROUP, LLC",
        "enumeration_date": "2023-09-28",
        "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": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.healthymd.com",
            "affiliation": "N",
            "address_1": "3900 S Florida Ave Ste 205",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338131150",
            "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 Lakeland, 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.