NPIMap

Organization Active NPI

Vidacupuncture,LLC

  • Clinic/Center
  • Homestead, FL
National Provider Identifier
1588006266
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AP 3231 Issued in FL
Legal business name
VIDACUPUNCTURE,LLC
Practice address
17901 SW 296TH St
Homestead, FL 33030-3138
Phone
(305) 562-0850
NPI assigned
Jul 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Silvia De WynneNPI 1265874911
Title
Presisdent
Phone
(305) 562-0850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AP 3231 FL Primary

Addresses

Primary practice location

17901 SW 296TH St
Homestead, FL 33030-3138

Mailing address

5246 SW 8TH St
Coral Gables, FL 33134-2375

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1588006266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5246 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 SW 296TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303138",
            "telephone_number": "305-562-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDACUPUNCTURE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "DE WYNNE",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_title_or_position": "PRESISDENT",
        "authorized_official_telephone_number": "305-562-0850"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "AP 3231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.