RAUL EDUARDO VIDAL-COLLAZO

WINTER PARK, FL
NPI1538709233
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11004586)
Enumeration Date2020-01-10
Last Update Date2020-04-08
Business Address
RAUL EDUARDO VIDAL-COLLAZO APRN
2005 MIZELL AVE STE 2100
WINTER PARK, FL 32792-4126
Phone number: 407-646-7015
Mailing Address
RAUL EDUARDO VIDAL-COLLAZO APRN
2005 MIZELL AVE STE 2100
WINTER PARK, FL 32792-4126
Phone number: 407-646-7015