Individual
RAMON VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33313-1503
(954) 730-2750
(904) 346-0113
Mailing address
PO BOX 863481, ORLANDO, FL 32886-3481
(954) 315-0779
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0067522
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27873
BCBS
FL
01
—
P00263085
RR MCR
—
Enumeration date
08/31/2006
Last updated
01/24/2008
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