1. Home
  2. Directory
  3. Florida
  4. Doral
  5. Nurse Practitioner
  6. NPI Profile

INVIGORATION HEALTH CORP
NPI 1033856307
Nurse Practitioner - Psychiatric/Mental Health in Doral, FL

Active since May 17, 2022
8450 NW 102ND AVE, DORAL, FL 33178(360) 643-6562 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2022, Sep 1, 2022, Aug 16, 2022 and 1 more (4 updates tracked since 2022).

About Invigoration Health Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INVIGORATION HEALTH CORP (NPI 1033856307) is a healthcare organization registered as a psychiatric/mental health in Doral, Florida and active in the NPI registry since May 2022. The organization maintains a secondary practice location in Duluth and lists Stacy Wideman, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1033856307
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameINVIGORATION HEALTH CORP
Location Address8450 NW 102ND AVEDoral, FL 33178-4750
Mailing Address370 Holdings DrLawrenceville, GA 30044-5581
Phone(360) 643-6562
Organization SubpartNo
Authorized OfficialStacy WidemanCeo/owner · (678) 235-4853
Enumeration DateMay 17, 2022
Last NPPES UpdateNovember 22, 20224 updates tracked since enumeration
NPPES CertifiedNovember 22, 2022
✔ NPI 1033856307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
8450 NW 102ND AVE, Doral, FL 33178
Open in Google Maps ↗

Secondary Practice Location 1

Location 13235 Satellite Blvd Ste 300Duluth, GA 30096-8688 · Phone (360) 643-6562

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACY WILLIAMS
Nurse Practitioner (Psychiatric/Mental Health)
8450 NW 102ND AVE
DORAL, FL 33178
Miami-Dade County (360) 643-6562

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Invigoration Health Corp's NPI number?

The NPI number for Invigoration Health Corp is 1033856307. It was assigned to this organization in the NPPES registry on May 17, 2022.

Where is Invigoration Health Corp located?

Invigoration Health Corp is located at 8450 NW 102nd Ave, Doral, FL 33178. The listed phone number is (360) 643-6562.

What is Invigoration Health Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Invigoration Health Corp was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.