Individual
CARLA PATRICIA VIDAL MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2307
(352) 273-9079
(352) 273-8889
Mailing address
PO BOX 100277, GAINESVILLE, FL 32610-0277
(352) 273-9079
(352) 273-8889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60630951
WA
363A00000X
Physician Assistant
Primary
PA9114592
FL
Other
Enumeration date
07/18/2013
Last updated
10/05/2021
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