Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 136806 | FL |
NPI | 1033473277 |
---|---|
Provider Name | Natalia Vidal Laureano |
First Address | Hollywood, FL 33021-2306 |
Second Address | Miami, FL 33173-3656 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2012 |
Last Update Date | 21/06/2021 |