Organization
VIDA MEDICAL ALLIANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREM M FEELEY (CEO)
(813) 431-9787
Entity
Organization
Contact information
Practice address
4130 14TH ST NE, ST PETERSBURG, FL 33703-5328
(813) 431-9787
(407) 530-4326
Mailing address
4130 14TH ST NE, ST PETERSBURG, FL 33703-5328
(813) 431-9787
(407) 530-4326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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