Vidal, Karen L.

Vidal, Karen L. is an individual health care provider with primary practice located at 29253 Us Highway 19 N , Clearwater FL 33761-2102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Vidal, Karen L. can be contacted via phone (727) 313-4764.

Contact Information

Primary practice address
29253 Us Highway 19 N Clearwater FL 33761-2102
Phone: (727) 313-4764
Fax: (727) 313-4764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA 2828 Florida

Profile Details

NPI number 1477599124
LBN Legal business name Vidal, Karen L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Dec 2nd, 2020 - about 5 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 1477599124 NPPES
Florida Other E1096T QSS SCS PTAN
Florida MEDICAID 2927853 00 QSS SCS PTAN
Florida Other P00108704 QSS SCS PTAN

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