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Organization

CAPE VISTA ENTERPRISES INC

Active
Other names
VISTAMED CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
MISS ADEBISI E WILLIAMS B.SC (CFO)
(813) 454-7775
Entity
Organization

Contact information

Practice address
2734 WINDGUARD CIR, SUITE 102, WESLEY CHAPEL, FL 33544-7362
(813) 991-4333
(813) 440-2744
Mailing address
2734 WINDGUARD CIR, SUITE 102, WESLEY CHAPEL, FL 33544-7362
(813) 991-4333
(813) 440-2744

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
HCC9357
FL
261QP2300X
Primary Care Clinic/Center
Primary
HCC9357
FL

Other

Enumeration date
05/08/2012
Last updated
05/23/2012
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