| Vida Health Centre Llc | |
|
5979 Vineland Rd Ste 209 Orlando FL 32819-7855 | |
| (407) 250-5030 | |
| Not Available |
| Full Name | Vida Health Centre Llc |
|---|---|
| Speciality | General Practice |
| Location | 5979 Vineland Rd Ste 209, Orlando, Florida |
| Authorized Official Name and Position | Amarilys Colon Tirado (OWNER) |
| Authorized Official Contact | 4072505030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Health Centre Llc Po Box 470159 Celebration FL 34747-0159 Ph: (407) 250-5030 | Vida Health Centre Llc 5979 Vineland Rd Ste 209 Orlando FL 32819-7855 Ph: (407) 250-5030 |
| NPI Number | 1346953924 |
|---|---|
| Provider Enumeration Date | 12/28/2022 |
| Last Update Date | 06/14/2023 |
| Medicare PECOS PAC ID | 9436519758 |
|---|---|
| Medicare Enrollment ID | O20230719000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346953924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Amarilys Colon Tirado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1205804259 PECOS PAC ID: 5597730010 Enrollment ID: I20170529000037 |
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