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

Vida Medical Alliance, Inc

Organization Family Medicine Physician · NPI 1215636022

Vida Medical Alliance, Inc is a Family Medicine Physician in St Petersburg, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4130 14th St NE
St Petersburg, FL 33703-5328
Phone: (813) 431-9787
Fax: (407) 530-4326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1215636022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karem Feeley — Ceo · (813) 431-9787
NPI enumeratedMarch 1, 2023
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address4130 14th St Ne, St Petersburg, FL 33703-5328

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