La Vida Medical Group , INC

NPI #1982377065 in Oldsmar, Florida

Provider Information

NPI Number: 1982377065
Entity Type: Organization
Organization Name: La Vida Medical Group , INC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 26, 2021
Last Updated: Mar 10, 2023

Practice Location

Address: 120 STATE ST E STE 101
City: Oldsmar
State: Florida
ZIP Code: 34677-3647
Phone: (813) 296-6266

Authorized Official

Name: SANLLY PEREZ CEBALLOS, MD
Title: PRESIDENT
Phone: (813) 296-6266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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