John Paul Vidolin in Venice - Sports Medicine
John Paul Vidolin - NPI 1427039569
John Paul Vidolin is a Sports Medicine in Venice, Florida. John Paul Vidolin practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for John Paul Vidolin is 1427039569. The last update date is 2007-11-16.
John Paul Vidolin's current location address is 836 Sunset Lake Blvd, Venice, Florida. You can contact this provider via phone number 9414971771 and fax number 9414971860. The mailing address for John Paul Vidolin is 836 Sunset Lake Blvd, Venice, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Paul Vidolin |
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Address | 836 Sunset Lake Blvd, Venice, Florida |
Phone Number | 9414971771 |
Fax Number | 9414971860 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1427039569 |
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Provider Enumeration Date | 2005-11-07 |
Last Updated Date | 2007-11-16 |
Provider Mailing Address Detail
Address | 836 Sunset Lake Blvd |
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City | Venice |
State | Florida (FL) |
Post Code | 342927554 |
Phone Number | 9414971771 |
Fax Number | 9414971860 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Xx0005X |
Licence No | ME0068375 |
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
27192 | FL | BCBS | |
27192Z | FL | MEDICARE PROVIDER | |
3925180001 | PALMETTO GBA |
Post Comment/ Review Below
What is the unique identifier code issued to John Paul Vidolin by the Centers for Medicare & Medicaid Services?
The John Paul Vidolin has been assigned the NPI (National Provider Identifier) 1427039569. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John Paul Vidolin's physical address?
The John Paul Vidolin is physically located at 836 Sunset Lake Blvd, in the city of Venice, FL, with the postal code 342927554.
What is John Paul Vidolin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Paul Vidolin is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Xx0005X.
On what date did John Paul Vidolin receive its 1427039569 assignment from the Centers for Medicare & Medicaid Services?
The John Paul Vidolin was assigned its 1427039569 on 2005-11-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to John Paul Vidolin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Paul Vidolin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-16.
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