Organization
VIDA PLUS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN NIEVES MD (CEO)
(787) 363-0406
Entity
Organization
Contact information
Practice address
339 CYPRESS PKWY STE 250, KISSIMMEE, FL 34759-3315
(407) 910-1555
(407) 910-1577
Mailing address
339 CYPRESS PKWY STE 250, KISSIMMEE, FL 34759-3315
(407) 910-1555
(407) 910-1577
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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