Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | ME88264 | FL |
NPI | 1174538813 |
---|---|
Provider Name | Dr. Ana Margarita Vidal |
First Address | South Miami, FL 33143-4806 |
Second Address | South Miami, FL 33143-4806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 22/02/2021 |