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VIDA HEALTH CENTRE LLC NPI 1346953924


NPI Information

NPI: 1346953924
Provider Name: VIDA HEALTH CENTRE LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2278306

Address:
5979 VINELAND RD STE 209
ORLANDO, FL
ZIP 32819
Phone: (407) 250-5030
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VIDA HEALTH CENTRE LLC is a general practice in Orlando, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee VIDA HEALTH CENTRE LLC NPI is 1346953924. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5979 VINELAND RD STE 209
ORLANDO, FL
ZIP 32819-855
Phone: (407) 250-5030

The provider's authorized official is Amarilys Colon Tirado .
The authorized official title is Owner and has the following contact phone number (407) 250-5030.

The CLIA number assigned to this NPI record is 10D2278306 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2022 and was last updated on 6/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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