Vida Medical Alliance, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

VIDA MEDICAL ALLIANCE, INC

Practice address

4130 14TH St NE
St Petersburg, FL 33703-5328

Phone

(813) 431-9787

Fax

(407) 530-4326

NPI assigned

Mar 1, 2023

Organization subpart

No

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

Authorized official

Name

Karem M Feeley

Title

Ceo

Phone

(813) 431-9787

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1215636022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 14TH ST NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337035328",
            "telephone_number": "813-431-9787",
            "fax_number": "407-530-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 14TH ST NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337035328",
            "telephone_number": "813-431-9787",
            "fax_number": "407-530-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA MEDICAL ALLIANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "FEELEY",
        "authorized_official_first_name": "KAREM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-431-9787"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Viani, PHARMD
• Sydney Viar, MSAT, ATC
• Taylor Vicente, MSW, RCSWI
• Rosmery Victoria, D.O.
• Vida Eats, LLC
• Rosa A. Vidal, MD
• Aly Vidaurri-Mielke
• Kathleen M. Vigeland, M.S., T.V.I, IT DS
• Carolyn Vignola, PMHNP-BC
• Christi R Vignona

• General Practice Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.