| NPI | 1588294607 |
|---|---|
| Doing Business As | VIDA MEDICAL CENTERS OF SWEETWATER |
| Entity Type | Organization |
| Authorized Contact | SANDY LOPEZ Owner 786-623-3915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2022-01-25 |