| Alicia R Vidal Zas Psy D Pa | |
|
14225 Sw 42nd St Miami FL 33175-6408 | |
| (305) 221-8200 | |
| (305) 221-9800 |
| Full Name | Alicia R Vidal Zas Psy D Pa |
|---|---|
| Speciality | Psychologist |
| Location | 14225 Sw 42nd St, Miami, Florida |
| Authorized Official Name and Position | Alicia R Vidal Zas (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3052218200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia R Vidal Zas Psy D Pa 14225 Sw 42nd St Miami FL 33175-6408 Ph: (305) 221-8200 | Alicia R Vidal Zas Psy D Pa 14225 Sw 42nd St Miami FL 33175-6408 Ph: (305) 221-8200 |
| NPI Number | 1184704322 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/07/2014 |
| Medicare PECOS PAC ID | 7810994977 |
|---|---|
| Medicare Enrollment ID | O20061102000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184704322 | NPI | - | NPPES |
| 000154000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6481 (Florida) | Primary |
| Provider Name | Alicia R Vidal-zas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366494411 PECOS PAC ID: 3173512449 Enrollment ID: I20061102000190 |
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