Individual
CARMEN JULIA VIDAL MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2944 SUNSET VISTA BLVD, KISSIMMEE, FL 34747
(973) 459-6069
(973) 459-6069
Mailing address
2944 SUNSET VISTA BLVD, KISSIMMEE, FL 34747
(973) 459-6069
(973) 459-6069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2687-P.A.
PR
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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