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Organization
VIMED CENTER INC
Active
Organization
VIMED CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTO H VILLANUEVA MD (PRESIDENT)
(305) 559-2224
Entity
Organization
Contact information
Practice address
8260 W FLAGLER ST, SUITE 2I, MIAMI, FL 33144-2069
(305) 559-2224
(305) 559-2123
Mailing address
8260 W FLAGLER ST, SUITE 2I, MIAMI, FL 33144-2069
(305) 559-2224
(305) 559-2123
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME71662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME71662
MEDICAL LICENSE
FL
Enumeration date
01/22/2009
Last updated
01/22/2009
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