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Organization
VITAL EDGE WELLNESS LLC
Active
Organization
VITAL EDGE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON RITENOUR APRN (MANAGING MEMBER)
(941) 451-7849
Entity
Organization
Contact information
Practice address
160 SANTAREM CIR, PUNTA GORDA, FL 33983-4222
(941) 451-7849
(941) 259-0721
Mailing address
160 SANTAREM CIR, PUNTA GORDA, FL 33983-4222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/06/2026
Last updated
08/04/2026
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