Nurse Practitioner, Primary Care
ADULT VITALITY HEALTHCARE LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1407626989 · enumerated 2024-01-04 · record updated 2024-01-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: RUTH GOBOURNE, MGR · (863) 608-0559
Other names: ADULT VITALITY HEALTHCARELLC
Addresses and phones
- Mailing address 2946 CREEKS CROSSING BLVD, LAKELAND, FL, 33810-0216 (863) 608-0559 Google Maps Apple Maps OpenStreetMap
- Practice location 7969 OAK RUN CIR, LAKELAND, FL, 33809-7253 (863) 608-0559 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Primary Care 363LP2300X · Primary
In this directory
Locations and evidence
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Practice location
LAKELAND, FL, 338097253
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.