Individual
MORGAN OLIVIA VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-2022
(321) 843-2152
Mailing address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-2022
(321) 843-2152
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9379776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012814700
—
FL
01
—
G01SQ
BCBS
FL
Enumeration date
06/05/2014
Last updated
11/06/2023
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