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Organization
CLINIC VIDA, LLC
Active
Organization
CLINIC VIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA BARCUS L.AP, DOM, BSPH, MOA (ACUPUNCTURE PHYSICIAN, DOCTOR OF OR)
(941) 879-7388
Entity
Organization
Contact information
Practice address
73 S PALM AVE, SUITE 223, SARASOTA, FL 34236-5638
(941) 879-7388
Mailing address
73 S PALM AVE, SUITE 223, SARASOTA, FL 34236-5638
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3476
FL
174H00000X
Health Educator
AP3476
FL
175L00000X
Homeopath
AP3476
FL
Other
Enumeration date
01/27/2017
Last updated
03/18/2017
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