MEDICARE: VESSEL WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133N00000X	Nutritionist

General Provider Information

NPI Number	:	1437917473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VESSEL WELLNESS LLC

Provider Business Mailing Address
First Line	:	6353 VIBERNUM CT APT 406
Second Line	:
City	:	APOLLO BEACH
State	:	FL
Zip	:	33572-4257
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6353 VIBERNUM CT APT 406
Second Line	:
City	:	APOLLO BEACH
State	:	FL
Zip	:	33572-4257
Country	:	US
Telephone Number	:	240-578-2326
Fax Number	:

Authorized Official
Title or Position	:	NUTRITIONIST/OWNER
Name	:	CARRIE GRIFFITH
Credential	:	MS, CNS, LDN
Telephone Number	:	443-977-0916

Provider Enumeration Date	:	03/12/2024
Last Update Date	:	03/20/2024

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Directions to “VESSEL WELLNESS LLC ” Practice Location

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