Organization
VIDA FUNCTIONAL WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIPE M SILVA (CO-FOUNDER)
(813) 586-0901
Entity
Organization
Contact information
Practice address
3530 AUTUMN GLEN DR, VALRICO, FL 33596-8269
(813) 586-0901
Mailing address
3530 AUTUMN GLEN DR, VALRICO, FL 33596-8269
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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