Maria Lourdes Vidovich, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME116344 Issued in FL

Practice address

4035 Crescent Park Dr
Riverview, FL 33578-3605

Phone

(813) 775-4030

NPI assigned

Oct 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Maria Lourdes Ferreira-Palacios Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• After Hours Pediatrics, Inc.

  • Clinic/Center
  • Tampa, FL
  • NPI 1992746879
  NPD (past)
• Kennett Hma Physician Management, LLC

  • Internal Medicine Physician
  • Kennett, MO
  • NPI 1245445196

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1821322207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 CRESCENT PARK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 CRESCENT PARK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783605",
            "telephone_number": "813-775-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDOVICH",
        "first_name": "MARIA",
        "middle_name": "LOURDES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2009008960",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME116344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "FERREIRA-PALACIOS",
            "middle_name": "LOURDES",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Elizabeth Verstrat
• Kimberlee Jane Vickers, P.T.
• Blondie Demosthene Victor, AGNP
• Victory Hands Healthcare LLC
• Maria Karla Vidal Guas
• Viessence Healthcare LLC
• Justin Taylor Vigo I
• Alexander Vigoureux, M.A., BCBA
• Yanela Viguera Ricardo, APRN
• Paola Vilchez Diaz

• Pediatrics Physician in Riverview, FL
• Providers in Riverview, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.