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Organization
VIBRANTMD
Active
Organization
VIBRANTMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK CARNEGIE (PRESIDENT)
(941) 713-2909
Entity
Organization
Contact information
Practice address
1802 E BUSCH BLVD, TAMPA, FL 33612-8631
(941) 713-2909
Mailing address
12118 CREOLE CT, PARRISH, FL 34219-1201
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/18/2025
Last updated
07/06/2026
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