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VIDA MEDICAL ALLIANCE, INC
NPI 1215636022
General Practice in St Petersburg, FL

Active since March 01, 2023
4130 14TH ST NE, ST PETERSBURG, FL 33703(813) 431-9787(407) 530-4326 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vida Medical Alliance, Inc NPPES

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

VIDA MEDICAL ALLIANCE, INC (NPI 1215636022) is a healthcare organization registered as a general practice in St Petersburg, Florida and active in the NPI registry since March 2023. The organization lists Karem M Feeley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215636022
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameVIDA MEDICAL ALLIANCE, INC
Location Address4130 14TH ST NESt Petersburg, FL 33703-5328
Mailing Address4130 14th St NeSt Petersburg, FL 33703-5328 · (813) 431-9787 · Fax (407) 530-4326
Phone(813) 431-9787
Fax(407) 530-4326
Organization SubpartNo
Authorized OfficialKarem M FeeleyCeo · (813) 431-9787
Enumeration DateMarch 1, 2023
NPPES CertifiedMarch 1, 2023
✔ NPI 1215636022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
4130 14TH ST NE, St Petersburg, FL 33703
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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 MULTIPLE 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 Medical Alliance, Inc's NPI number?

The NPI number for Vida Medical Alliance, Inc is 1215636022. It was assigned to this organization in the NPPES registry on March 1, 2023.

Where is Vida Medical Alliance, Inc located?

Vida Medical Alliance, Inc is located at 4130 14th St NE, St Petersburg, FL 33703. The listed phone number is (813) 431-9787.

What is Vida Medical Alliance, Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Vida Medical Alliance, Inc was last updated on March 1, 2023. 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.