Vitacore Medical Group, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

VITACORE MEDICAL GROUP, PLLC

Practice address

223 Peregrine Drive
Indialantic, FL 32903

Phone

(321) 292-2740

Fax

(878) 453-1836

NPI assigned

Sep 18, 2023

Last updated

Jan 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael William Stainton, NPNPI 1811480643

Title

Owner

Phone

(321) 292-2740

Specialties & licenses 1

Addresses

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.

• Michael William Stainton, MSN, APRN

  • Nurse Practitioner
  • Palm Bay, FL
  • NPI 1811480643
  Authorized official Same address or phone

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1720866213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 N MIRAMAR AVE UNIT 233",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033054",
            "telephone_number": "321-292-2740",
            "fax_number": "878-453-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 PEREGRINE DRIVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "32903",
            "telephone_number": "321-292-2740",
            "fax_number": "878-453-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITACORE MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "STAINTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-292-2740",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Indialantic, FL
• Providers in Indialantic, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.