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Contact Information

VIDALTIA CORP.
6456 NW 5TH WAY
FORT LAUDERDALE, FL33309-6112
 Phone: 202-802-0082
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for VIDALTIA CORP.

NPI Number 1336008036
LBN Legal business name VIDALTIA CORP.
Authorized official EZECHIEL FENELON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/19/2026
Last updated 05/26/2026 - About 2 weeks ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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