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Organization
VIDA CHIROPRACTIC CENTER INC
Active
Organization
VIDA CHIROPRACTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANAY S GONZALEZ DC (VICE PRESIDENT)
(786) 247-2010
Entity
Organization
Contact information
Practice address
3420 W 84TH ST STE 102, HIALEAH, FL 33018-4937
(305) 603-8408
(305) 603-8906
Mailing address
3420 W 84TH ST STE 102, HIALEAH, FL 33018-4937
(305) 603-8408
(305) 603-8906
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10589
FL
111N00000X
Chiropractor
CH10619
FL
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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