Vida Wellness Center, LLC

NPI #1962691444 in Tampa, Florida

Provider Information

NPI Number: 1962691444
Entity Type: Organization
Organization Name: Vida Wellness Center, LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 19, 2007
Last Updated: Oct 25, 2011

Practice Location

Address: 13905 CARROLLWOOD VILLAGE RUN
City: Tampa
State: Florida
ZIP Code: 33618-2746
Phone: (813) 960-3160

Authorized Official

Name: DR. VICTOR HUGO GOMEZ, DC
Title: MANAGER
Phone: (813) 960-3160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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