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

Vitally Doc

Organization Internal Medicine Physician · NPI 1720971328

Vitally Doc is an Internal Medicine Physician in Fort Myers, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4755 Summerlin Rd Ste 2
Fort Myers, FL 33919-1073
Phone: (239) 842-6816
Fax: (239) 221-0478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1720971328
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mayelin Carpio — Ceo · (239) 842-6816
Other names Vitally Doc Integrative Medicine
NPI enumeratedJune 2, 2025
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address4755 Summerlin Rd Ste 2, Fort Myers, FL 33919-1073

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