# CLINIC VIDA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073050043
- **Authorized official:** THERESA BARCUS L.AP, DOM, BSPH, MOA (ACUPUNCTURE PHYSICIAN, DOCTOR OF OR)
- **Authorized official phone:** (941) 879-7388

## Contact information

- **Practice address:** 73 S PALM AVE, SUITE 223, SARASOTA, FL 34236-5638
- **Practice address phone:** (941) 879-7388
- **Mailing address:** 73 S PALM AVE, SUITE 223, SARASOTA, FL 34236-5638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP3476 | FL | Yes |
| 174H00000X | Health Educator | AP3476 | FL | — |
| 175L00000X | Homeopath | AP3476 | FL | — |

## Other

- **Enumeration date:** 01/27/2017
- **Last updated:** 03/18/2017