Provider Demographics
NPI:1922769561
Name:CDC RESEARCH INSTITUTE,LLC
Entity Type:Organization
Organization Name:CDC RESEARCH INSTITUTE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:305-812-4329
Mailing Address - Street 1:1700 SE HILLMOOR DR STE 305
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-7536
Mailing Address - Country:US
Mailing Address - Phone:772-807-1636
Mailing Address - Fax:772-807-1636
Practice Address - Street 1:1700 SE HILLMOOR DR STE 305
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-7536
Practice Address - Country:US
Practice Address - Phone:772-807-1636
Practice Address - Fax:772-807-1636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty