# VIDA PLUS MEDICAL LLC

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

## Provider details

- **NPI number:** 1992424832
- **Authorized official:** EDWIN NIEVES MD (CEO)
- **Authorized official phone:** (787) 363-0406

## Contact information

- **Practice address:** 339 CYPRESS PKWY STE 250, KISSIMMEE, FL 34759-3315
- **Practice address phone:** (407) 910-1555
- **Practice address fax:** (407) 910-1577
- **Mailing address:** 339 CYPRESS PKWY STE 250, KISSIMMEE, FL 34759-3315
- **Mailing address phone:** (407) 910-1555
- **Mailing address fax:** (407) 910-1577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2022
- **Last updated:** 08/24/2022