Vidal, Angel

Vidal, Angel is an individual health care provider with primary practice located at 11880 Sw 40Th St Suite 202, Miami FL 33175-3584. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Vidal, Angel can be contacted via phone (305) 552-7020.

Contact Information

Primary practice address
11880 Sw 40Th St Suite 202 Miami FL 33175-3584
Phone: (305) 552-7020
Fax: (305) 552-7006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME0026606 Florida

Profile Details

NPI number 1669409637
LBN Legal business name Vidal, Angel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 30th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669409637 NPPES
Florida MEDICAID 059197100

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