# UNIVIDA MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1225880537
- **Authorized official:** LUIS CASTRO (MANAGING PARTNER)
- **Authorized official phone:** (305) 204-0333

## Contact information

- **Practice address:** 17100 NE 19TH AVE, NORTH MIAMI BEACH, FL 33162-3102
- **Practice address phone:** (305) 204-0333
- **Mailing address:** 4353 NW 77TH AVE FL 3, MIAMI, FL 33166-6736
- **Mailing address phone:** (305) 204-0333
- **Mailing address fax:** (305) 359-7546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2024
- **Last updated:** 12/04/2025