Organization
LARGA VIDA COMMUNITY WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEYDEN ALBERTO RAMOS (PRESIDENT)
(786) 253-9971
Entity
Organization
Contact information
Practice address
330 SW 27TH AVE STE 308-309, MIAMI, FL 33135-2961
(786) 253-9971
(305) 456-3889
Mailing address
330 SW 27TH AVE STE 308-309, MIAMI, FL 33135-2961
(786) 253-9971
(305) 456-3889
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110188800
—
FL
Enumeration date
04/08/2021
Last updated
05/05/2026
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