Organization · Type 2 NPI

Vida Medical Alliance, Inc

General Practice Physician · St. Petersburg, FL

NPI number 1215636022 Active

Practice location

4130 14th St NE
St. Petersburg, FL 33703-5328

Call (813) 431-9787 Map

Fax (407) 530-4326

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1215636022

Vida Medical Alliance, Inc's National Provider Identifier is 1215636022, issued on Mar 1, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Mar 1, 2023.