| Vibrant Vitality Llc | |
|
9522 Nw 65th St Tamarac FL 33321-3550 | |
| (954) 205-1996 | |
| Not Available |
| Full Name | Vibrant Vitality Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9522 Nw 65th St, Tamarac, Florida |
| Authorized Official Name and Position | Vashawn Theresa Ireland (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 9542051996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrant Vitality Llc 9522 Nw 65th St Tamarac FL 33321-3550 Ph: () - | Vibrant Vitality Llc 9522 Nw 65th St Tamarac FL 33321-3550 Ph: (954) 205-1996 |
| NPI Number | 1255137584 |
|---|---|
| Provider Enumeration Date | 02/19/2025 |
| Last Update Date | 03/11/2025 |
| Medicare PECOS PAC ID | 7012433600 |
|---|---|
| Medicare Enrollment ID | O20250428000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255137584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Vashawn Ireland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144903428 PECOS PAC ID: 2668811928 Enrollment ID: I20240418004039 |
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