Rooted Vigor, Pllc

LBN: Rooted Vigor, Pllc
Rooted Vigor, Pllc is an health care organization with primary practice located at 7901 4Th St N Ste 11467 , St Petersburg FL 33702-4305. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Rooted Vigor, Pllc can be contacted via phone (813) 397-8824, or through Gamble, Mary Iyeshia via phone (813) 397-8824.

Contact Information

Primary practice address
7901 4Th St N Ste 11467 St Petersburg FL 33702-4305
Phone: (813) 397-8824
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gamble, Mary Iyeshia Nurse Practitioner (NP)
Phone: (813) 397-8824

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1134837057
LBN Legal business name Rooted Vigor, Pllc
DBA Doing business as
Authorized official Gamble, Mary Iyeshia Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2022
Last updated Nov 9th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers