Individual
CRISTINA VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8765 S DIXIE HWY, MIAMI, FL 33143-7811
(305) 740-6840
(305) 740-5438
Mailing address
7747 SW 74TH LN, MIAMI, FL 33143-4044
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9308654
FL
363LF0000X
Family Nurse Practitioner
Primary
9308654
FL
Other
Enumeration date
07/29/2015
Last updated
10/04/2015
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