| NPI | 1699402255 |
|---|---|
| Doing Business As | VIDALUS LLC |
| Entity Type | Organization |
| Authorized Contact | MARK C BLACKBURN Manager 561-578-1730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2024-10-18 |