Organization Active NPI

Joseph Vidal MD PA

  • Internal Medicine Physician
  • Ocala, FL
National Provider Identifier
1780779967
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0035667 Issued in FL
Legal business name
JOSEPH VIDAL MD PA
Practice address
2403 SE 17TH St
#301
Ocala, FL 34471-9184
Phone
(352) 629-8138
Fax
(352) 629-7879
NPI assigned
Oct 4, 2006
Last updated
Mar 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joseph Anthony Vidal, M.D.NPI 1861497943
Title
President
Phone
(352) 629-8138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0035667 FL Primary

Addresses

Primary practice location

2403 SE 17TH St
#301
Ocala, FL 34471-9184

Mailing address

2403 SE 17TH St
#301
Ocala, FL 34471-9184
Phone (352) 629-8138

National Provider Directory

National Provider Directory

Locations

2403 SE 17th St
Ste 301
Ocala, FL 34471
Phone (352) 629-8138

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1780779967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 SE 17TH ST",
            "address_2": "#301",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344719184",
            "telephone_number": "352-629-8138",
            "fax_number": "352-629-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 SE 17TH ST",
            "address_2": "#301",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344719184",
            "telephone_number": "352-629-8138",
            "fax_number": "352-629-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH VIDAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "VIDAL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-629-8138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0035667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.