Active NPI
Vibrant Med Solutions, Inc
- Nurse Practitioner
- Plantation, FL
National Provider Identifier
1699498006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- VIBRANT MED SOLUTIONS, INC
- Practice address
- 7520 NW 5TH St Ste 206
Plantation, FL 33317-1613 - Phone
- (239) 961-9717
- NPI assigned
- Sep 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bobbie Rogers
- Title
- Ceo
- Phone
- (239) 961-9717
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Nurse Practitioner | 363L00000X | Primary | ||
| Acute Care Nurse Practitioner | 363LA2100X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
7520 NW 5TH St Ste 206
Plantation, FL 33317-1613
Mailing address
5846 S Flamingo Rd # 359
Cooper City, FL 33330-3237
Phone (239) 961-9717
National Provider Directory
National Provider DirectoryLocations
7520 NW 5th St
Ste 206
Plantation, FL 33317
Phone (561) 313-5842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663718400000",
"number": "1699498006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5846 S FLAMINGO RD # 359",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333303237",
"telephone_number": "239-961-9717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7520 NW 5TH ST STE 206",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333171613",
"telephone_number": "239-961-9717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIBRANT MED SOLUTIONS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "BOBBIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "239-961-9717"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.