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

Elite Medical and Vitality LLC

Organization Family Medicine Physician · NPI 1164214821

Elite Medical and Vitality LLC provides Family Medicine Physician services in Sheridan, Wyoming. Registered with an NPI since 2025.

In the registry since
2025
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

1309 Coffeen Ave Ste 1200
Sheridan, WY 82801-5777
Phone: (559) 331-1649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1164214821
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Davis — Ceo · (559) 331-1649
NPI enumeratedMay 20, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address1309 Coffeen Ave Ste 1200, Sheridan, WY 82801-5777

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