| Vidal Concierge Llc | |
|
871 Donald Ross Rd Juno Beach FL 33408-1606 | |
| (561) 543-0808 | |
| Not Available |
| Full Name | Vidal Concierge Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 871 Donald Ross Rd, Juno Beach, Florida |
| Authorized Official Name and Position | Yael Vidal (MD) |
| Authorized Official Contact | 7185597108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vidal Concierge Llc 871 Donald Ross Rd Juno Beach FL 33408-1606 Ph: (561) 543-0808 | Vidal Concierge Llc 871 Donald Ross Rd Juno Beach FL 33408-1606 Ph: (561) 543-0808 |
| NPI Number | 1114510880 |
|---|---|
| Provider Enumeration Date | 02/14/2021 |
| Last Update Date | 02/14/2021 |
| Medicare PECOS PAC ID | 7416362736 |
|---|---|
| Medicare Enrollment ID | O20210219000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114510880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Yael Vidal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639328248 PECOS PAC ID: 9234397480 Enrollment ID: I20161117002214 |
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