Vida Medical Associates Pa

NPI 1700228723 - Family Medicine - 207QB0002X

NPI Details
NPI 1700228723
Enumeration Date 07/18/2013
Last Updated 07/18/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JORGE L JORGE
Position OWNER
Phone (941) 206-5200
Fax
Practice Location
25098 OLYMPIA AVE
STE 4A
PUNTA GORDA FL, 33950-3938, US
Phone (941) 206-5200
Fax
Business Location
25098 OLYMPIA AVE
STE 4A
PUNTA GORDA FL, 33950-3938, US
Phone (941) 206-5200
Fax
Toxanomy
Taxonomy Code 207QB0002X
License State Florida
License Number ME115384
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According to our database, Vida Medical Associates Pa NPI is 1700228723, taxonomy code is 207QB0002X and license number is ME115384, license state is located at Florida. Vida Medical Associates Pa physically located at 25098 Olympia Ave, Punta Gorda FL, 33950-3938. NPI Number 1033115704 has the healthcare provider type.

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1700228723 NPI number is provided on an as is basis without warranty of any kind. 1700228723 is maintained by the National Plan & Provider Enumeration System. The contents of Vida Medical Associates Pa are for informational purposes only.