Organization Active NPI

Vitamundo LLC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1275568164
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7748 Issued in FL
Legal business name
VITAMUNDO LLC
Doing business as
Live Free Chiropractic/Vida Libre Chiropractic
Practice address
13905 Carrollwood Village Run
Tampa, FL 33618-2746
Phone
(813) 960-3160
Fax
(813) 960-0160
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Suzanne Michelle Thatcher, D.C.
Title
Owner
Phone
(813) 960-3160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7748 FL Primary

Addresses

Primary practice location

13905 Carrollwood Village Run
Tampa, FL 33618-2746

Mailing address

13905 Carrollwood Village Run
Tampa, FL 33618-2746
Phone (813) 960-3160

Other names 1

  • Live Free Chiropractic/Vida Libre Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

13905 Carrollwood Village Run
Tampa, FL 33618
Phone (813) 960-3160

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275568164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13905 CARROLLWOOD VILLAGE RUN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182746",
            "telephone_number": "813-960-3160",
            "fax_number": "813-960-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13905 CARROLLWOOD VILLAGE RUN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182746",
            "telephone_number": "813-960-3160",
            "fax_number": "813-960-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAMUNDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THATCHER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-960-3160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Free Chiropractic/Vida Libre Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.