Organization Active NPI

Victorious Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Davie, FL
National Provider Identifier
1154002855
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VICTORIOUS HEALTH LLC
Doing business as
Victorious Health LLC
Practice address
10400 Griffin Rd Ste 107
Davie, FL 33328-3320
Phone
(786) 697-0703
NPI assigned
Jul 26, 2023
Last updated
Jan 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Isabelo Ian Domingo Victorio, NPNPI 1841797842
Title
Owner/Ceo
Phone
(786) 697-0703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

10400 Griffin Rd Ste 107
Davie, FL 33328-3320

Mailing address

5965 Stirling Rd
PMB 391
Davie, FL 33314-7225
Phone (786) 697-0703

Other names 1

  • Victorious Health LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5965 Stirling Rd
#391
Davie, FL 33314

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1154002855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 STIRLING RD",
            "address_2": "PMB 391",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147225",
            "telephone_number": "786-697-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 GRIFFIN RD STE 107",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283320",
            "telephone_number": "786-697-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIOUS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "VICTORIO",
        "authorized_official_first_name": "ISABELO IAN",
        "authorized_official_middle_name": "DOMINGO",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "786-697-0703",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victorious Health LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Victorious Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.