Provider Demographics
NPI:1356143002
Name:VIBE MD PLLC
Entity type:Organization
Organization Name:VIBE MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DARSHAM
Authorized Official - Middle Name:YUSSEF
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-586-8995
Mailing Address - Street 1:4851 ANCIENT MARBLE DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-4701
Mailing Address - Country:US
Mailing Address - Phone:941-586-8995
Mailing Address - Fax:
Practice Address - Street 1:4851 ANCIENT MARBLE DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-4701
Practice Address - Country:US
Practice Address - Phone:941-586-8995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center