VIDA VITAL LLC
Medical Practice at 68 St, Hialeah, FL

License number
Florida HCC7020
Category
Medical Practice
Type
Legal Medicine
Owner
Name: YAILEN BENGOCHEA
Title: PRESIDENT
Phone: (786) 256-9747
Address
Address
1490 W 68Th St, Hialeah, FL 33014
National Provider ID: 1003845942
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about VIDA VITAL LLC at bizstanding.com

Vida Vital LLC

5775 W 20 Ave, Hialeah, FL 33012

Status:
Inactive
Registration:
Aug 11, 2005
State ID:
L05000078976
Business type:
Florida Limited Liability
President:
Yailen Bengochea President, inactive

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