Organization
NUVO VIDA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEYSI CASANOVA (PART OWNER)
(786) 797-0300
Entity
Organization
Contact information
Practice address
7600 W 20TH AVE, STE 218, HIALEAH, FL 33016-1821
(786) 797-0300
(305) 675-2443
Mailing address
7600 W 20TH AVE, STE 218, HIALEAH, FL 33016-1821
(786) 797-0300
(305) 675-2443
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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