# UNIVIDA FRANCHISE LLC

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

## Provider details

- **NPI number:** 1619557915
- **Authorized official:** MR. IVAN A HERRERA (MANAGING PARTNER)
- **Authorized official phone:** (305) 508-9847

## Contact information

- **Practice address:** 4353 NW 77TH AVE FL 3, MIAMI, FL 33166-6736
- **Practice address phone:** (305) 204-0333
- **Practice address fax:** (305) 359-7546
- **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:** 04/11/2021
- **Last updated:** 12/04/2025
