Organization Active NPI

Vidanova Medical Group, LLC

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1598659922
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VIDANOVA MEDICAL GROUP, LLC
Practice address
10300 SW 72ND St Ste 387
Miami, FL 33173-3020
Phone
(786) 205-4515
Fax
(786) 625-7631
NPI assigned
Jun 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Kleydson Neves Da Silva, APRNNPI 1780299487
Title
Owner
Phone
(786) 205-4515

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

10300 SW 72ND St Ste 387
Miami, FL 33173-3020

Mailing address

9923 SW 147TH CT
Miami, FL 33196-1634
Phone (786) 205-4515

National Provider Directory

National Provider Directory

Locations

10300 SW 72nd St
Ste 387
Miami, FL 33173
Phone (305) 200-5210

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": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1598659922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9923 SW 147TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961634",
            "telephone_number": "786-205-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 387",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733020",
            "telephone_number": "786-205-4515",
            "fax_number": "786-625-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDANOVA MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "NEVES DA SILVA",
        "authorized_official_first_name": "KLEYDSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-205-4515",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.