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1245743889
VIDA MEDICAL GROUP PA
HOMESTEAD, FL
NPI
1245743889
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Entity Type
Organization
Authorized Contact
DAGOBERTO MARQUEZ
Owner
786-586-7645
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2017-11-06
Last Update Date
2024-05-16
Business Address
VIDA MEDICAL GROUP PA
26847 S DIXIE HWY
HOMESTEAD, FL 33032-7524
Phone number: 305-258-9352
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Mailing Address
VIDA MEDICAL GROUP PA
26847 S DIXIE HWY
HOMESTEAD, FL 33032-7524
Phone number: 305-258-9352
Copy
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