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ADULT VITALITY HEALTHCARE LLC
NPI 1407626989
Nurse Practitioner - Primary Care in Lakeland, FL

Active since January 04, 2024
7969 OAK RUN CIR, LAKELAND, FL 33809(863) 608-0559 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adult Vitality Healthcare Llc NPPES

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

ADULT VITALITY HEALTHCARE LLC (NPI 1407626989) is a healthcare organization registered as a primary care in Lakeland, Florida and active in the NPI registry since January 2024. The organization lists Ruth Gobourne, Mgr, as its authorized official.

NPPES Registry Identity

NPI1407626989
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameADULT VITALITY HEALTHCARE LLC
Location Address7969 OAK RUN CIRLakeland, FL 33809-7253
Mailing Address2946 Creeks Crossing BlvdLakeland, FL 33810-0216 · (863) 608-0559
Phone(863) 608-0559
Organization SubpartNo
Authorized OfficialRuth GobourneMgr · (863) 608-0559
Enumeration DateJanuary 4, 2024
NPPES CertifiedJanuary 4, 2024
✔ NPI 1407626989 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
7969 OAK RUN CIR, Lakeland, FL 33809
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Other Names 1

Other NameAdult Vitality Healthcarellc

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

Other Providers at the Same Location NPPES 2

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

RUTH GOBOURNE
Nurse Practitioner (Primary Care)
7969 OAK RUN CIR
LAKELAND, FL 33809
Polk County (863) 608-0559
WE CARE TO STAY, LLC
In Home Supportive Care
7969 OAK RUN CIR
LAKELAND, FL 33809
Polk County (863) 229-6112

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 Adult Vitality Healthcare LLC's NPI number?

The NPI number for Adult Vitality Healthcare LLC is 1407626989. It was assigned to this organization in the NPPES registry on January 4, 2024. The provider is also known as Adult Vitality Healthcarellc.

Where is Adult Vitality Healthcare LLC located?

Adult Vitality Healthcare LLC is located at 7969 Oak Run Cir, Lakeland, FL 33809. The listed phone number is (863) 608-0559.

What is Adult Vitality Healthcare LLC'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 Adult Vitality Healthcare LLC was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.