Leyte Vidal, Santiago M

Leyte Vidal, Santiago M is an sole proprietor health care provider with primary practice located at 465 Minutemen Cswy , Cocoa Beach FL 32931-2881. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Leyte Vidal, Santiago M can be contacted via phone (321) 784-0023.

Contact Information

Primary practice address
465 Minutemen Cswy Cocoa Beach FL 32931-2881
Phone: (321) 784-0023
Fax: (321) 784-1689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 47809 Florida

Profile Details

NPI number 1619940418
LBN Legal business name Leyte Vidal, Santiago M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2006
Last updated Nov 17th, 2010 - about 14 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.

Request for update

Popular Providers