Vidal-Cardozo, Lydia Ivette

Vidal-Cardozo, Lydia Ivette is an individual health care provider with primary practice located at 108 Finnegan Ct , Myrtle Beach SC 29579-4205. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Vidal-Cardozo, Lydia Ivette can be contacted via phone (843) 909-9993.

Contact Information

Primary practice address
108 Finnegan Ct Myrtle Beach SC 29579-4205
Phone: (843) 909-9993
Fax: (843) 903-3366
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C0000746 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1294 South Carolina

Profile Details

NPI number 1174533863
LBN Legal business name Vidal-Cardozo, Lydia Ivette
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jan 15th, 2014 - about 12 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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