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
Primary
—
—
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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