Individual
MONICA VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 SAWGRASS CORPORATE PKWY, SUITE 106, SUNRISE, FL 33325-6244
(954) 745-1112
(954) 745-1120
Mailing address
440 SAWGRASS CORPORATE PKWY, SUITE 106, SUNRISE, FL 33325-6244
(954) 745-1112
(954) 745-1120
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
103TB0200X
FL
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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