JORGE SANTIAGO VIDAL

ST PETERSBURG, FL
NPI1346495181
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: FL  14185)
Enumeration Date2008-11-20
Last Update Date2008-11-20
Business Address
-- JORGE SANTIAGO VIDAL MD
2096 IOWA AVE NE
ST PETERSBURG, FL 33703-3428
Phone number: 727-528-6452
Mailing Address
-- JORGE SANTIAGO VIDAL MD
2096 IOWA AVE NE
ST PETERSBURG, FL 33703-3428
Phone number: 727-528-6452
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