Rooted Vigor, Pllc
NPI #1134837057 in St Petersburg, Florida
Provider Information
- NPI Number
- 1134837057
- Entity Type
- Organization
- Organization Name
- Rooted Vigor, Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Nov 9, 2022
- Last Updated
- Nov 9, 2022
Practice Location
- Address
- 7901 4TH ST N STE 11467
- City
- St Petersburg
- State
- Florida
- ZIP Code
- 33702-4305
- Phone
- (813) 397-8824
Authorized Official
- Name
- MARY IYESHIA GAMBLE, NP
- Title
- FOUNDER/CEO
- Phone
- (813) 397-8824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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