Individual
ELIZABETH VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4020 WINTER GARDEN VINELAND RD STE 101, WINTER GARDEN, FL 34787
(407) 993-6120
Mailing address
4020 WINTER GARDEN VINELAND RD, WINTER GARDEN, FL 34787-9502
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
9110762
FL
363A00000X
Physician Assistant
Primary
9110762
FL
Other
Enumeration date
03/23/2018
Last updated
01/30/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us