# AMPLIFIED VITALITY WELLNESS CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amp Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255045209
- **Authorized official:** DR. CHRISTOPHER PAUL LACROSS MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (603) 303-3660

## Contact information

- **Practice address:** 2800 E COMMERCIAL BLVD STE 210, FORT LAUDERDALE, FL 33308-4228
- **Practice address phone:** (954) 667-3385
- **Practice address fax:** (954) 676-1010
- **Mailing address:** 2800 E COMMERCIAL BLVD STE 210, FORT LAUDERDALE, FL 33308-4228
- **Mailing address phone:** (954) 667-3385
- **Mailing address fax:** (954) 676-1010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2023
- **Last updated:** 04/18/2025