Vida Medical Network LLC
Contractor in Miami Lakes, FL. Organization (NPI-2).
NPI number1982144739
StatusActive
Last updated in NPPESOct 15, 2026
Details
- NPI
- 1982144739
- Entity type
- Organization (NPI-2)
- Legal business name
- Vida Medical Network LLC
- Organization subpart
- No
- Enumeration date
- Feb 27, 2017
- Certification date
- Oct 15, 2026
- Last updated
- Oct 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
14901 Nw 79 Ct2nd Floor
Miami Lakes, FL 33016-5856
Phone 305-269-7887 · Fax 786-219-4300
Mailing address
14901 Nw 79 Ct2nd Floor
Miami Lakes, FL 33016-5856
Phone 305-269-7887 · Fax 786-219-4300
Authorized official
Sandy Lopez
President
7864993499
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