Organization
CAREWELL CLINIC CORP
Active
Other names
VIDA MEDICAL CENTERS OF MIAMI LAKES
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY LOPEZ (CEO)
(786) 499-3499
Entity
Organization
Contact information
Practice address
14901 NW 79TH CT, MIAMI LAKES, FL 33016-5856
(786) 936-8432
(786) 936-8433
Mailing address
14901 NW 79TH CT, MIAMI LAKES, FL 33016-5856
(786) 936-8432
(786) 936-8433
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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