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General NPI Number Information
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NPI Number | 1891532008
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Entity Type | Organization
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Legal Business Name | VIDA HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 07/15/2024
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 2387 W 68TH ST STE 201
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City | HIALEAH
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State | FL
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Zip | 33016-6890
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Country | US
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Telephone | 305-557-8486
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Fax | 305-557-1025
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Provider Business Mailing Address
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Address Line | 2387 W 68TH ST STE 201
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City | HIALEAH
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State | FL
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Zip | 33016-6890
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Country | US
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Telephone | 305-557-8486
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Fax | 305-557-1025
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Authorized Official
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Title or Position | OWNER 11014696
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Name | PASCUAL MORA DELGADO
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Credential | APRN 11014696
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Telephone | 786-486-9896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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