Organization
JIDALGO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA NADAL (OWNER)
(954) 990-0967
Entity
Organization
Contact information
Practice address
6241 N DIXIE HWY FL 2, FORT LAUDERDALE, FL 33334-3620
(954) 990-0967
(954) 990-0967
Mailing address
6241 N DIXIE HWY FL 2, FORT LAUDERDALE, FL 33334-3620
(954) 990-0967
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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