Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Vida Functional Wellness PLLC

Organization Primary Care Nurse Practitioner · NPI 1083589691

Vida Functional Wellness PLLC provides Primary Care Nurse Practitioner services 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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