Organization
VIDA MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA TAPIA (PRESIDENT)
(786) 615-8113
Entity
Organization
Contact information
Practice address
4910 E 2ND AVE, HIALEAH, FL 33013-1410
(786) 615-8113
(786) 953-7437
Mailing address
4910 E 2ND AVE, HIALEAH, FL 33013-1410
(786) 615-8113
(786) 953-7437
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC10022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FILE 10628
AHCA HCC UNIT
FL
Enumeration date
02/14/2014
Last updated
02/14/2014
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