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1750005575
ODALYS VIEDA
TAMPA, FL
NPI
1750005575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9116522)
Enumeration Date
2022-09-27
Last Update Date
2024-01-03
Business Address
ODALYS VIEDA
2 TAMPA GENERAL CIR
TAMPA, FL 33606-3571
Phone number: 813-821-8038
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Mailing Address
ODALYS VIEDA
8733 ROOKS PARK CIR APT 258
TAMPA, FL 33619-6686
Phone number: 561-452-7166
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