NPIMap

Organization Active NPI

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

  • Health Service Clinic/Center
  • Bonita Springs, FL
National Provider Identifier
1790376945
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HEALTHY MD CLINICAL, LLC F/K/A INDEPENDENT MEDICAL GROUP, LLC
Practice address
28420 Bonita Crossings Blvd Suite 130
Bonita Springs, FL 34135
Phone
(407) 314-7492
Fax
(833) 258-4230
NPI assigned
Jan 31, 2021
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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

28420 Bonita Crossings Blvd Suite 130
Bonita Springs, FL 34135

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.

NPI Registry JSON

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

{
    "created_epoch": "1612051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1790376945",
    "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",
            "fax_number": "833-258-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28420 BONITA CROSSINGS BLVD SUITE 130",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34135",
            "telephone_number": "407-314-7492",
            "fax_number": "833-258-4230"
        }
    ],
    "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": "2021-01-31",
        "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": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.healthymd.com",
            "affiliation": "N",
            "address_1": "28420 Bonita Crossings Blvd Suite 130",
            "city": "Bonita Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34135",
            "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 Bonita Springs, 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.