Organization
VIDACUPUNCTURE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SILVIA DE WYNNE (PRESISDENT)
(305) 562-0850
Entity
Organization
Contact information
Practice address
17901 SW 296TH ST, HOMESTEAD, FL 33030-3138
(305) 562-0850
Mailing address
5246 SW 8TH ST, CORAL GABLES, FL 33134-2375
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP 3231
FL
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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