# VIDAL MEDICAL OFFICE PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023112760
- **Authorized official:** DR. HILDA FLORES-VIDAL M.D. (OWNER)
- **Authorized official phone:** (520) 423-9699

## Contact information

- **Practice address:** 21300 N JOHN WAYNE PKWY, UNIT 116 BLDG 7, MARICOPA, AZ 85139-8979
- **Practice address phone:** (520) 423-9699
- **Practice address fax:** (520) 423-9599
- **Mailing address:** 21300 N JOHN WAYNE PKWY, UNIT 116 BLDG 7, MARICOPA, AZ 85139-8978
- **Mailing address phone:** (520) 423-9699
- **Mailing address fax:** (520) 423-9599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 04/03/2017