Individual
KAREN L. VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
29253 US HIGHWAY 19 N, CLEARWATER, FL 33761-2102
(727) 313-4764
(727) 313-4764
Mailing address
946 SE 10TH ST, OCALA, FL 34471-3910
(352) 427-1326
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 2828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2927853 00
—
FL
01
—
E1096T
QSS SCS PTAN
FL
01
—
P00108704
MEDICARE RR
FL
Enumeration date
06/21/2006
Last updated
12/02/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us