Organization
ADULT VITALITY HEALTHCARE LLC
Active
Other names
ADULT VITALITY HEALTHCARELLC
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH GOBOURNE (MGR)
(863) 608-0559
Entity
Organization
Contact information
Practice address
7969 OAK RUN CIR, LAKELAND, FL 33809-7253
(863) 608-0559
Mailing address
2946 CREEKS CROSSING BLVD, LAKELAND, FL 33810-0216
(863) 608-0559
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up