Adult Vitality Healthcare LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

ADULT VITALITY HEALTHCARE LLC

Practice address

7969 Oak Run Cir
Lakeland, FL 33809-7253

Phone

(863) 608-0559

NPI assigned

Jan 4, 2024

Last updated

Jan 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruth GobourneNPI 1598256158

Title

MGR

Phone

(863) 608-0559

Specialties & licenses 1

Addresses

Other names 1

• ADULT VITALITY HEALTHCARELLC Other name

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.

• Ruth Gobourne

  • Primary Care Nurse Practitioner
  • Lakeland, FL
  • NPI 1598256158

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1407626989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 CREEKS CROSSING BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338100216",
            "telephone_number": "863-608-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7969 OAK RUN CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338097253",
            "telephone_number": "863-608-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT VITALITY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "GOBOURNE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "863-608-0559"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADULT VITALITY HEALTHCARELLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James B Adkins Jr., PRESIDENT
• Joshua Adlam, PT
• Vlad V. Adler, M.D.
• Ruben D Adriano, M.D.
• Natalie Adsuar, MD
• Advanced Care Hospitalists Florida Behavioral Health LLC
• Advanced Care Hospitalists PL
• Advanced Dental Arts of Lakeland PLLC
• Advanced Endodontic Specialists LLC
• Advanced Health Partners LLC (Advanced Mobile Health Partners)

• Primary Care Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.