| Vida Medical Alliance, Inc | |
|
4130 14th St Ne St Petersburg FL 33703-5328 | |
| (813) 431-9787 | |
| (407) 530-4326 |
| Full Name | Vida Medical Alliance, Inc |
|---|---|
| Speciality | General Practice |
| Location | 4130 14th St Ne, St Petersburg, Florida |
| Authorized Official Name and Position | Karem M Feeley (CEO) |
| Authorized Official Contact | 8134319787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Medical Alliance, Inc 4130 14th St Ne St Petersburg FL 33703-5328 Ph: (813) 431-9787 | Vida Medical Alliance, Inc 4130 14th St Ne St Petersburg FL 33703-5328 Ph: (813) 431-9787 |
| NPI Number | 1215636022 |
|---|---|
| Provider Enumeration Date | 03/01/2023 |
| Last Update Date | 03/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215636022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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