JUAN D VIDAL (NPI# 1922384098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922384098 |
| Entity Type | Individual |
| Full Name | JUAN D VIDAL |
| Credential | PA-C |
| Practice Address |
3 Sw 129th Ave Pembroke Pines FL 33027-1775 |
| Mailing Address |
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 |
| Practice Telephone | 9544334200 |
| Mailing Telephone | 3055002000 |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9106281 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1316 N State Road 7, Margate, FL 330632843 | 9549689993 | 9549689910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356983514 | Juan Sebastian Vidal | Student in an Organized Health Care Education/Training Program | 10 Calle Casia, San Juan, PR 00921-3200 | 2019-10-09 |
| 1457769200 | Juan Vidal | Registered Nurse | 8175 Nw 12th St Ste 306, Doral, FL 33126-1828 | 2014-07-24 |
| 1972581866 | Juan J. Vidal | Pathology | 3501 Johnson St, Hollywood, FL 33021-5421 | 2006-01-03 |
| 1093796286 | Juan Vidal | Internal Medicine | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2005-11-07 |
| Street Address |
3 SW 129TH AVE |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33027-1775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912082868 | Edward Ronald Kirsh | Dentist | 3 Sw 129th Ave, Ste 205, Pembroke Pines, FL 33027 | 2006-10-26 |
| 1427500610 | Endo Group Pllc | Dentist | 3 Sw 129th Ave, Ste 205, Pembroke Pines, FL 33027-1775 | 2016-11-04 |
| 1811310980 | Jose D Dominguez Dds Pa | Dentist | 3 Sw 129th Ave, Suite 210, Pembroke Pines, FL 33027-1775 | 2014-01-27 |
| 1952736928 | Phoenix Surgery Center, LLC | Clinic/Center | 3 Sw 129th Ave, Suite 100, Pembroke Pines, FL 33027-1775 | 2013-09-10 |
| 1447696307 | Beautiful Vision Pllc | Clinic/Center | 3 Sw 129th Ave, Suite 100, Pembroke Pines, FL 33027-1775 | 2013-05-20 |
| 1225387855 | Rma of Pembroke Pines LLC | Internal Medicine | 3 Sw 129th Ave, Suite 101, Pembroke Pines, FL 33027-1775 | 2012-08-29 |
| 1922297191 | David Bencomo | Internal Medicine | 3 Sw 129th Ave, Pembroke Pines, FL 33027-1775 | 2007-10-23 |
| 1992838304 | Jose Dumergue Dominguez | Dentist | 3 Sw 129th Ave, Suite 210, Pembroke Pines, FL 33027-1775 | 2007-03-14 |
| 1790837011 | Francesann Ford | Ophthalmology | 3 Sw 129th Ave, Suite 100, Pembroke Pines, FL 33027-1775 | 2007-01-17 |
| 1982762613 | Endodontric Specialty Group, LLC | Dentist | 3 Sw 129th Ave, Ste 205, Pembroke Pines, FL 33027 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366087785 | Jessica Gearhard | Physician Assistant | 550 Sw 138th Ave Apt K404, Pembroke Pines, FL 33027-6929 | 2019-11-08 |
| 1124661301 | Christopher Reyes | Physician Assistant | 1603 Nw 208th Ter, Pembroke Pines, FL 33029-2302 | 2019-10-21 |
| 1922534833 | Emad Mosaed | Physician Assistant | 302 Nw 179th Ave Ste 103, Pembroke Pines, FL 33029-2818 | 2017-05-11 |
| 1326570938 | Amanda Engel | Physician Assistant | 2213 N University Dr Ste A, Pembroke Pines, FL 33024-3611 | 2017-04-02 |
| 1407305550 | Godney Paulin | Physician Assistant | 601 N Flamingo Rd Ste 213, Pembroke Pines, FL 33028-1009 | 2016-09-30 |
| 1740609072 | Ledy Tatiana Ochoa | Physician Assistant | 345 Sw 113th Ln, Pembroke Pines, FL 33025-4830 | 2014-04-15 |
| 1922436922 | Makeba Joy Burke | Physician Assistant | 2217 N University Drive, Pembroke Pines, FL 33025 | 2013-10-29 |
| 1407100993 | Sharon Cam Whitehorn | Physician Assistant | 500 N Hiatus Rd Ste 101, Pembroke Pines, FL 33026 | 2012-11-05 |
| 1699041368 | Lorie Ann Thompson Masters | Physician Assistant | 13182 Nw 18th Ct, Pembroke Pines, FL 33028-2513 | 2012-03-28 |
| 1649578535 | Michelle Lynn Baechle | Physician Assistant | 603 N Flamingo Road, Suite 350, Pembroke Pines, FL 33028-1013 | 2011-03-02 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33027 |
Please comment or provide details below to improve the information on JUAN D VIDAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.