Individual
MR. GILBERT HIDALGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 W COMMERCIAL BLVD, SUITE 202-C, FT LAUDERDALE, FL 33309-3073
(954) 202-7822
(954) 202-7821
Mailing address
2000 W COMMERCIAL BLVD, SUITE 202-C, FT LAUDERDALE, FL 33309-3073
(954) 202-7822
(954) 202-7821
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30211354
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651126292
—
FL
05
—
691528100
—
FL
Enumeration date
12/02/2015
Last updated
12/02/2015
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