Fermin O Vidal

Primary specialty

PharmacistTaxonomy code 183500000X

License

0023561 Issued in FL

Practice address

807 E Silver Springs Blvd
Ocala, FL 34470-6709

Phone

(352) 629-8721

NPI assigned

Nov 29, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Fermin O Vidal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1972870327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 NW 101ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071388",
            "telephone_number": "352-322-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 E SILVER SPRINGS BLVD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344706709",
            "telephone_number": "352-629-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "FERMIN",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "0023561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE NUMBER",
            "identifier": "0023561",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FERMIN",
            "last_name": "VIDAL",
            "middle_name": "O",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shanawana Letese' Vickers, BA/CM
• Victoria Myles
• Aydee Victoria
• Victory Facility LLC
• Vida Chiropractic Inc
• Joseph Anthony Vidal, MD
• Lisandra Vidal, DNP, ARNP, CPNP-PC
• Ari Vidallo, FNP-C
• Yudiel Viera Gonzalez
• Village Home Care, LLC

• Pharmacist in Ocala, FL
• Providers in Ocala, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.