Lydia Ivette Vidal-Cardozo in Myrtle Beach - Medical
Lydia Ivette Vidal-Cardozo - NPI 1174533863
Lydia Ivette Vidal-Cardozo is a Medical in Myrtle Beach, South Carolina. Lydia Ivette Vidal-Cardozo practices all healthcare services and medical treatments related to Medical. The NPI Number for Lydia Ivette Vidal-Cardozo is 1174533863. The last update date is 2014-01-15.
Lydia Ivette Vidal-Cardozo's current location address is 108 Finnegan Ct, Myrtle Beach, South Carolina. You can contact this provider via phone number 8439099993 and fax number 8439033366. The mailing address for Lydia Ivette Vidal-Cardozo is 108 Finnegan Ct, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lydia Ivette Vidal-Cardozo |
|---|---|
| Address | 108 Finnegan Ct, Myrtle Beach, South Carolina |
| Phone Number | 8439099993 |
| Fax Number | 8439033366 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1174533863 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2014-01-15 |
Provider Mailing Address Detail
| Address | 108 Finnegan Ct |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295794205 |
| Phone Number | 8439099993 |
| Fax Number | 8439033366 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA1294 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the Lydia Ivette Vidal-Cardozo's 1174533863?
The Lydia Ivette Vidal-Cardozo's NPI (National Provider Identifier) Number is 1174533863. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to Lydia Ivette Vidal-Cardozo by the Centers for Medicare & Medicaid Services (CMS)?
The Lydia Ivette Vidal-Cardozo has been assigned the NPI (National Provider Identifier) 1174533863. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Lydia Ivette Vidal-Cardozo located?
The Lydia Ivette Vidal-Cardozo is located at 108 Finnegan Ct, Myrtle Beach, SC 295794205.
What is the Lydia Ivette Vidal-Cardozo's specialty and taxonomy code?
The Lydia Ivette Vidal-Cardozo's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174533863 to Lydia Ivette Vidal-Cardozo?
The Lydia Ivette Vidal-Cardozo received its 1174533863 assignment from the Centers for Medicare & Medicaid Services on 2006-08-08.