# KAREN L VIDAL PA-C, LLC

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

## Provider details

- **NPI number:** 1770216392
- **Authorized official:** KAREN L VIDAL PA-C (AMBR)
- **Authorized official phone:** (352) 427-1326

## Contact information

- **Practice address:** 946 SE 10TH ST, OCALA, FL 34471-3910
- **Practice address phone:** (352) 427-1326
- **Mailing address:** 946 SE 10TH ST, OCALA, FL 34471-3910
- **Mailing address phone:** (352) 427-1326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2022
- **Last updated:** 07/05/2022