Organization
ANGEL F VIDAL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL F VIDAL M.D. (PRESIDENT)
(305) 552-7020
Entity
Organization
Contact information
Practice address
11880 BIRD RD, SUITE 202, MIAMI, FL 33175-3584
(305) 552-7020
(305) 552-7006
Mailing address
11880 BIRD RD, SUITE 202, MIAMI, FL 33175-3584
(305) 552-7020
(305) 552-7006
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059197100
—
FL
Enumeration date
10/19/2010
Last updated
10/19/2010
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