Individual
DIANNE SAWERS-VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8075 SPYGLASS HILL RD STE 101, MELBOURNE, FL 32940-8281
(321) 255-8008
(321) 255-8009
Mailing address
8075 SPYGLASS HILL RD STE 101, MELBOURNE, FL 32940-8281
(321) 255-8008
(321) 255-8009
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11001305
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11001305
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102902500
—
FL
01
—
LE342
MEDICARE
FL
Enumeration date
03/06/2019
Last updated
09/15/2025
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