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Organization

VIDA MEDICAL CENTER OF MIAMI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ENRIQUE LOPEZ (PRESIDENT)
(786) 360-4528
Entity
Organization

Contact information

Practice address
315 W 9TH ST, HIALEAH, FL 33010-3853
(786) 360-4528
(786) 360-4529
Mailing address
315 W 9TH ST, HIALEAH, FL 33010-3853
(786) 360-4528
(786) 360-4529

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
700908-7
FL

Other

Enumeration date
05/23/2013
Last updated
05/23/2013
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