Vidal, Rosa A.

Vidal, Rosa A. is an sole proprietor health care provider with primary practice located at 2432 67Th Ave S , St Petersburg FL 33712-5613. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Vidal, Rosa A. can be contacted via phone (251) 454-1126.

Contact Information

Primary practice address
2432 67Th Ave S St Petersburg FL 33712-5613
Phone: (251) 454-1126
Fax: (727) 528-6452
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 24595 Alabama

Profile Details

NPI number 1578503751
LBN Legal business name Vidal, Rosa A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Jul 9th, 2024 - about 2 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 1578503751 NPPES
Mississippi MEDICAID 00125518
Mississippi Other ME135633
Mississippi MEDICAID 009981610
Mississippi MEDICAID 1699098
Mississippi MEDICAID 263997100
Mississippi Other 39-00626
Mississippi Other 51507738

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