Organization
VIDANOVA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KLEYDSON NEVES DA SILVA APRN (OWNER)
(786) 205-4515
Entity
Organization
Contact information
Practice address
10300 SW 72ND ST STE 387, MIAMI, FL 33173-3020
(786) 205-4515
(786) 625-7631
Mailing address
9923 SW 147TH CT, MIAMI, FL 33196-1634
(786) 205-4515
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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