Organization
VIDA MEDICAL CENTERS OF SWEETWATER CORP.
Active
Organization
VIDA MEDICAL CENTERS OF SWEETWATER CORP.
Active
Other names
Vida Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDY LOPEZ (PRESIDENT)
(786) 623-3915
Entity
Organization
Contact information
Practice address
10920 W FLAGLER ST STE 201, MIAMI, FL 33174-1243
(786) 623-3915
(786) 623-3916
Mailing address
10920 W FLAGLER ST STE 201, MIAMI, FL 33174-1243
(786) 623-3915
(786) 623-3916
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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