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Organization
VIDA THERAPY CENTERS
Active
Organization
VIDA THERAPY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM VALLADARES JR. (PRESIDENT)
(305) 882-1100
Entity
Organization
Contact information
Practice address
881 E 2ND AVE, 881 EAST 2ND AVENUE, HIALEAH, FL 33010-4205
(305) 882-1100
Mailing address
881 E 2ND AVE, 881 EAST 2ND AVENUE, HIALEAH, FL 33010-4205
(305) 882-1100
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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