NPI 1003845942

Vida Vital LLC

Organisation Legal Medicine Hialeah, FL

Practice location

Address: 1490 W 68th St 201, Hialeah, FL 33014-4590
Phone: (786) 256-9747

Authorised official

Name: Yailen Bengochea
Title: President
Phone: (786) 256-9747

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence HCC7020 (FL)

Other Legal Medicine providers in Florida →

Registry record

NPI: 1003845942
Entity type: Organization
NPI issued: 2 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.