Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Vidal, PA-C

Individual provider Physician Assistant · NPI 1407476401

Kevin Vidal, PA-C is a Physician Assistant in Weston, Florida. Qualified in 2020, 6 years ago. Practices with Cleveland Clinic Florida, a 721-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone: (954) 659-5630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9113723 (FL)

Record details

NPI number1407476401
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 20, 2020
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021
Mailing address2110 Sw 83rd Ct, Miami, FL 33155-1145

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cleveland Clinic Florida — 721 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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