Organization
VIDA MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREM M FEELEY (ADMINISTRATOR)
(407) 978-6400
Entity
Organization
Contact information
Practice address
1960 E OSCEOLA PKWY, KISSIMMEE, FL 34743-8626
(407) 978-6400
(407) 530-4326
Mailing address
7550 FUTURES DR STE 104, ORLANDO, FL 32819-9096
(407) 978-6400
(407) 530-4502
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
05/02/2023
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