Vida Therapy INC

NPI #1962876557 in Palmetto Bay, Florida

Provider Information

NPI Number: 1962876557
Entity Type: Organization
Organization Name: Vida Therapy INC
Primary Specialty: General Practice
Enumeration Date: Nov 19, 2015
Last Updated: Nov 8, 2021

Practice Location

Address: 9847 SW 184TH ST
City: Palmetto Bay
State: Florida
ZIP Code: 33157-6934
Phone: (786) 227-6177

Authorized Official

Name: AYREMIS RODRIGUEZ, MA
Title: PRESIDENT
Phone: (786) 227-6177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X
Case Management	251B00000X
Community/Behavioral Health	251S00000X
Clinic/Center - Health Service — Health Service	261QH0100X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
General Practice	208D00000X	Primary

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