| NPI | 1912734047 |
|---|---|
| Doing Business As | VIDA MEDICAL CENTERS OF MIAMI LAKES |
| Entity Type | Organization |
| Authorized Contact | SANDY LOPEZ CEO 786-499-3499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-13 |