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Organization

JU VIDAL MED LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESUS VIDAL GONZALES (OWNER/AUTHORIZED OFFICIAL)
(786) 701-9081
Entity
Organization

Contact information

Practice address
13301 SW 132ND AVE UNIT 207, MIAMI, FL 33186-6190
(786) 701-9081
Mailing address
13301 SW 132ND AVE UNIT 207, MIAMI, FL 33186-6190
(786) 701-9081

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
06/09/2025
Last updated
07/15/2025
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