Vitalife Med LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

VITALIFE MED LLC

Practice address

2540 Winkler Ave Ste 1
Fort Myers, FL 33901-9338

Phone

(239) 347-0810

Fax

(754) 229-5558

NPI assigned

May 11, 2026

Last updated

Jun 3, 2026By 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

Lianet E Coello Blanco, APRNNPI 1033748041

Title

President

Phone

(239) 347-0810

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Lianet Esther Coello Blanco, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
  • NPI 1033748041
  NPD Authorized official

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1730017674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 WINKLER AVE STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019338",
            "telephone_number": "239-347-0810",
            "fax_number": "754-229-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 WINKLER AVE STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019338",
            "telephone_number": "239-347-0810",
            "fax_number": "754-229-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALIFE MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "COELLO BLANCO",
        "authorized_official_first_name": "LIANET",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-347-0810",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vital Primary Care LLC
• Vital Transit Solutions LLC
• Vitally Doc (Vitally doc Integrative Medicine)
• Liza J Vitiello, MA, LMHC
• Matthew Aaron Vivian
• Abigail Vivonetto, PT, DPT
• Shannen Lea Vixler, ARNP

• Family Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.