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Organization
VIDA WELLNESS CENTER, LLC
Active
Organization
VIDA WELLNESS CENTER, LLC
Active
Other names
Vida Libre Family Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR HUGO GOMEZ DC (MANAGER)
(813) 960-3160
Entity
Organization
Contact information
Practice address
13905 CARROLLWOOD VILLAGE RUN, TAMPA, FL 33618-2746
(813) 960-3160
Mailing address
13905 CARROLLWOOD VILLAGE RUN, TAMPA, FL 33618-2746
(813) 960-3160
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/19/2007
Last updated
10/25/2011
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