Adult Vitality Healthcare LLC
NPI 1407626989ActiveOrganization· Nurse Practitioner, Primary Care· Lakeland, FL
Nurse Practitioner, Primary Care in Lakeland, Florida, registered in NPPES in January 2024. The authorized official on file is Ruth Gobourne, Mgr.
Overview
| NPI | 1407626989 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2024 |
| Last updated in NPPES | Jan 4, 2024 |
| Certified by provider | Jan 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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