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Organization
LARGA VIDA MEDICAL SERVICE LLC
Active
Organization
LARGA VIDA MEDICAL SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX AGUILERA (OWNER)
(305) 381-5294
Entity
Organization
Contact information
Practice address
900 E 9TH ST, HIALEAH, FL 33010-4650
(305) 381-5294
(786) 685-2266
Mailing address
900 E 9TH ST, HIALEAH, FL 33010-4650
(305) 381-5294
(786) 685-2266
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
03/26/2024
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