# VIDA HEALTH CENTRE LLC

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

## Provider details

- **NPI number:** 1346953924
- **Authorized official:** AMARILYS COLON TIRADO MD (OWNER)
- **Authorized official phone:** (407) 250-5030

## Contact information

- **Practice address:** 5979 VINELAND RD STE 209, ORLANDO, FL 32819-7855
- **Practice address phone:** (407) 250-5030
- **Mailing address:** PO BOX 470159, CELEBRATION, FL 34747-0159
- **Mailing address phone:** (407) 250-5030

## Taxonomy

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

## Other

- **Enumeration date:** 12/28/2022
- **Last updated:** 06/14/2023