# VIDA MEDICAL CLINIC LLC

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

## Provider details

- **NPI number:** 1356967475
- **Authorized official:** KAREM M FEELEY (ADMINISTRATOR)
- **Authorized official phone:** (407) 978-6400

## Contact information

- **Practice address:** 1960 E OSCEOLA PKWY, KISSIMMEE, FL 34743-8626
- **Practice address phone:** (407) 978-6400
- **Practice address fax:** (407) 530-4326
- **Mailing address:** 7550 FUTURES DR STE 104, ORLANDO, FL 32819-9096
- **Mailing address phone:** (407) 978-6400
- **Mailing address fax:** (407) 530-4502

## Taxonomy

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

## Other

- **Enumeration date:** 06/24/2020
- **Last updated:** 05/02/2023