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1922384098
JUAN D VIDAL
PEMBROKE PINES, FL
NPI
1922384098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9106281)
Enumeration Date
2011-11-02
Last Update Date
2022-09-23
Business Address
JUAN D VIDAL PA-C
11460 PINES BLVD
PEMBROKE PINES, FL 33026-4128
Phone number: 954-433-4200
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Mailing Address
JUAN D VIDAL PA-C
6101 BLUE LAGOON DR STE 200
MIAMI, FL 33126-3168
Phone number: 305-500-2000
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