Karen L. Vidal, PA-C
Physician Assistant, Surgical in Clearwater, FL. Individual provider (NPI-1).
NPI number1477599124
StatusActive
Last updated in NPPESDec 2, 2020
Details
- NPI
- 1477599124
- Entity type
- Individual (NPI-1)
- Name
- Karen L. Vidal
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2006
- Certification date
- Dec 2, 2020
- Last updated
- Dec 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA 2828 | FL | Yes |
Practice location
29253 Us Highway 19 NClearwater, FL 33761-2102
Phone 727-313-4764 · Fax 727-313-4764
Mailing address
946 Se 10th StOcala, FL 34471-3910
Phone 352-427-1326
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