| Vidacupuncture,llc | |
|
17901 Sw 296th St Homestead FL 33030-3138 | |
| (305) 562-0850 | |
| Not Available |
| Full Name | Vidacupuncture,llc |
|---|---|
| Speciality | Clinic/center |
| Location | 17901 Sw 296th St, Homestead, Florida |
| Authorized Official Name and Position | Silvia De Wynne (PRESISDENT) |
| Authorized Official Contact | 3055620850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vidacupuncture,llc 5246 Sw 8th St Coral Gables FL 33134-2375 Ph: () - | Vidacupuncture,llc 17901 Sw 296th St Homestead FL 33030-3138 Ph: (305) 562-0850 |
| NPI Number | 1588006266 |
|---|---|
| Provider Enumeration Date | 07/23/2013 |
| Last Update Date | 07/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588006266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AP 3231 (Florida) | Primary |
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