Individual
AMERICA VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6002 SW 166TH CT, MIAMI, FL 33193-0000
(786) 484-8440
Mailing address
6002 SW 166TH CT, MIAMI, FL 33193-0000
(786) 484-8440
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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