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VIDA FUNCTIONAL WELLNESS PLLC
NPI 1083589691
Nurse Practitioner - Primary Care in Valrico, FL

Active since October 06, 2025
3530 AUTUMN GLEN DR, VALRICO, FL 33596(813) 586-0901 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vida Functional Wellness Pllc NPPES

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

VIDA FUNCTIONAL WELLNESS PLLC (NPI 1083589691) is a healthcare organization registered as a primary care in Valrico, Florida and active in the NPI registry since October 2025. The organization lists Felipe M Silva, Co-founder, as its authorized official.

NPPES Registry Identity

NPI1083589691
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameVIDA FUNCTIONAL WELLNESS PLLC
Location Address3530 AUTUMN GLEN DRValrico, FL 33596-8269
Mailing Address3530 Autumn Glen DrValrico, FL 33596-8269
Phone(813) 586-0901
Organization SubpartNo
Authorized OfficialFelipe M SilvaCo-founder · (813) 586-0901
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1083589691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
3530 AUTUMN GLEN DR, Valrico, FL 33596
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Vida Functional Wellness PLLC's NPI number?

The NPI number for Vida Functional Wellness PLLC is 1083589691. It was assigned to this organization in the NPPES registry on October 6, 2025.

Where is Vida Functional Wellness PLLC located?

Vida Functional Wellness PLLC is located at 3530 Autumn Glen Dr, Valrico, FL 33596. The listed phone number is (813) 586-0901.

What is Vida Functional Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Vida Functional Wellness PLLC was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.