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Individual

DR. CARLOS VIDALON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 NW 82ND AVE, SUITE 504, PLANTATION, FL 33324-7808
(954) 625-6776
(954) 625-6780
Mailing address
201 NW 82ND AVE, SUITE 504, PLANTATION, FL 33324-7808
(954) 625-6778
(954) 625-6780

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME 0021572
FL

Other

Enumeration date
07/11/2005
Last updated
05/16/2012
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