Graduated: 2024
NPI: 1831909985
Practice Locations (2)
LA VIDA MEDICAL GROUP INC
120 STATE ST E, SUITE 101
OLDSMAR, FL 346773647
8132966266
WELLMED MEDICAL MANAGEMENT OF FLORIDA INC
960 58TH ST N, WELLMED AT TYRONE GARDENS
ST. PETERSBURG, FL 337106325
7278207778
Source: CMS National Downloadable File, September 2026.