Organization · Type 2 NPI

Vibrantmd

Family Medicine Physician · Tampa, FL

NPI number 1023904612 Active

Practice location

1802 E Busch Blvd
Tampa, FL 33612-8631

Call (941) 713-2909 Map

Mailing address

12118 Creole Ct
Parrish, FL 34219-1201

Other practice locations

  • 12118 Creole Ct, Parrish, FL 34219-1201 · (941) 713-2909

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Clinical Social Worker 1041C0700XNone listed
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Pediatrics Physician 208000000XNone listed
Psychiatry Physician 2084P0800XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1023904612

Vibrantmd's National Provider Identifier is 1023904612, issued on Jun 18, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Tampa, FL. The record was last updated on Jul 6, 2026.