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NPI Profile for VIDALTIA CORP in FORT LAUDERDALE, FL.
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Chronic Disease Hospital |
281P00000X | |||
Exclusive Provider Organization |
302F00000X | |||
Federally Qualified Health Center (FQHC) |
261QF0400X | B4[14] | Federally Qualified Health Center | |
Health Maintenance Organization |
302R00000X | |||
Health Service |
261QH0100X | |||
Infusion Therapy |
261QI0500X | |||
Occupational Medicine |
261QX0100X | |||
Pain |
261QP3300X | |||
Point of Service |
305S00000X | |||
Preferred Provider Organization |
305R00000X | |||
Primary Care |
261QP2300X | |||
Public Health, Federal |
261QP0904X | |||
Public Health, State or Local |
261QP0905X | |||
VA |
261QV0200X |
| NPI Number | 1336008036 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/19/2026 | |
| Last updated | 05/26/2026 - About 2 weeks ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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VIDALTIA CORP.