Individual
DR. ANGEL VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11880 SW 40TH ST, SUITE 202, MIAMI, FL 33175-3584
(305) 552-7020
(305) 552-7006
Mailing address
11880 SW 40TH ST, SUITE 202, MIAMI, FL 33175-3584
(305) 552-7020
(305) 552-7006
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME0026606
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059197100
—
FL
Enumeration date
06/27/2006
Last updated
07/30/2010
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