Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vitalize Medical Vascular and Wellness Center LLC

Organization Internal Medicine Physician · NPI 1366202764

Vitalize Medical Vascular and Wellness Center LLC is an Internal Medicine Physician in Laurel, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9201 Cherry Ln
Laurel, MD 20708
Phone: (301) 497-1590
Fax: (240) 334-4781
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1366202764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ayana Seibles — Owner · (301) 497-1590
NPI enumeratedMarch 21, 2024
Last updated in NPPESMarch 21, 2024
Certification dateMarch 19, 2024
Mailing address9201 Cherry Lane, Laurel, MD 20708

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