| NPI | 1568121192 |
|---|---|
| Former Legal Business Name | VIDA MEDICAL CARE LLC |
| Entity Type | Organization |
| Authorized Contact | SANDY LOPEZ President/CEO 305-269-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |