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Organization
VIDA SPINE AND PAIN CENTER, LLC
Active
Organization
VIDA SPINE AND PAIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON C GO MD (MD/CEO)
(703) 520-1031
Entity
Organization
Contact information
Practice address
4001 FAIR RIDGE DR STE 202, FAIRFAX, VA 22033-2917
(703) 520-1031
(701) 520-7269
Mailing address
4001 FAIR RIDGE DR STE 202, FAIRFAX, VA 22033-2917
(703) 520-1031
(703) 520-7269
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/24/2026
Last updated
09/24/2026
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