Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vida Functional Wellness PLLC

Organization Primary Care Nurse Practitioner · NPI 1083589691

Vida Functional Wellness PLLC is a Primary Care Nurse Practitioner in Valrico, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3530 Autumn Glen Dr
Valrico, FL 33596-8269
Phone: (813) 586-0901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1083589691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Felipe Silva — Co-Founder · (813) 586-0901
NPI enumeratedOctober 6, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address3530 Autumn Glen Dr, Valrico, FL 33596-8269

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