NPI Index

VIDALTIA CORP.

Internal Medicine

Active Organization
NPI: 1336008036

Practice Address

6456 NW 5TH WAY
Fort Lauderdale, FL 33309

Phone: (202) 802-0082

Specialties

Specialty Code Primary License
Clinic/Center - Federally Qualified Health Center (FQHC) 261QF0400X No -
Clinic/Center - Health Service 261QH0100X No -
Clinic/Center - Infusion Therapy 261QI0500X No -
Clinic/Center - Public Health, Federal 261QP0904X No -
Clinic/Center - Public Health, State or Local 261QP0905X No -
Clinic/Center - Primary Care 261QP2300X No -
Clinic/Center - Pain 261QP3300X No -
Clinic/Center - VA 261QV0200X No -
Clinic/Center - Occupational Medicine 261QX0100X No -
Chronic Disease Hospital 281P00000X No -
Exclusive Provider Organization 302F00000X No -
Health Maintenance Organization 302R00000X No -
Preferred Provider Organization 305R00000X No -
Point of Service 305S00000X No -
Internal Medicine 207R00000X Yes -

Frequently Asked Questions

NPI 1336008036 is the National Provider Identifier for VIDALTIA CORP., a Internal Medicine provider located in Fort Lauderdale, FL. This NPI was enumerated on January 19, 2026.

Quick Facts

NPI
1336008036
Type
Organization
Enumerated
Jan 19, 2026
Last Updated
Jan 19, 2026

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