NPIMap

Organization Active NPI

Vida Wellness Center, LLC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1962691444
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VIDA WELLNESS CENTER, LLC
Practice address
13905 Carrollwood Village Run
Tampa, FL 33618-2746
Phone
(813) 960-3160
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Dr. Victor Hugo Gomez, DCNPI 1871579714
Title
Manager
Phone
(813) 960-3160

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 1

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

  • Vida Libre Family Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

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": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1962691444",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "HUGO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-960-3160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Libre Family Chiropractic Center",
            "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 Oct 25, 2011; 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.