Individual
ELENORA VIDAL-PASCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2351 PHILLIPS RD, TALLAHASSEE, FL 32308-5333
(850) 877-8166
(850) 877-0431
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
11001913
FL
363L00000X
Nurse Practitioner
APRN11001913
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11001913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110802100
—
FL
Enumeration date
03/25/2019
Last updated
04/17/2025
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