Organization
RAFAEL OLIVER-VIDAUD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL OLIVER-VIDAUD (MD ANESTHESIOLOGIST)
(954) 383-1782
Entity
Organization
Contact information
Practice address
3070 SW 121ST AVE, DAVIE, FL 33330-1318
(954) 383-1782
(954) 382-1989
Mailing address
PO BOX 551506, FORT LAUDERDALE, FL 33355-1506
(954) 382-1782
(954) 382-1989
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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