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NPI Code Detail

MEDICARE: VIDAL MEDICAL SERVICES INC

MEDICARE: VIDAL MEDICAL SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1598879835
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIDAL MEDICAL SERVICES INC
Provider Business Mailing Address
First Line : 14025 SW 142 AVE
Second Line : #7
City : MIAMI
State : FL
Zip : 33186-6737
Country : US
Telephone Number : 786-630-1194
Fax Number : 786-630-1194
Provider Business Practice Location Address
First Line : 14025 SW 142 AVE
Second Line : #7
City : MIAMI
State : FL
Zip : 33186-6737
Country : US
Telephone Number : 786-630-1194
Fax Number : 786-630-1194
Authorized Official
Title or Position : PRESIDENT
Name : EDUARDO REYES
Credential :
Telephone Number : 786-630-1194
Provider Enumeration Date : 08/17/2006
Last Update Date : 08/22/2020

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Directions to “VIDAL MEDICAL SERVICES INC ” Practice Location

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