Organization
VIDA HEALTH CENTRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMARILYS COLON TIRADO MD (OWNER)
(407) 250-5030
Entity
Organization
Contact information
Practice address
5979 VINELAND RD STE 209, ORLANDO, FL 32819-7855
(407) 250-5030
Mailing address
PO BOX 470159, CELEBRATION, FL 34747-0159
(407) 250-5030
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
06/14/2023
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