Individual
REINALDO VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HSE 8603
Contact information
Practice address
JACKSON SOUTH MEDICAL CENTER, 9333 SW 152 ST, MIAMI, FL 33157
(305) 256-5237
Mailing address
16420 SW 144TH PL, MIAMI, FL 33177-1761
(305) 303-9180
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
HSE8603
FL
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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