Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lydia Ivette Vidal-Cardozo, PAC

Individual provider Family Medicine Physician · NPI 1174533863

Lydia Ivette Vidal-Cardozo, PAC is a Family Medicine Physician in Myrtle Beach, South Carolina. Licensed in Maryland and South Carolina. Registered with an NPI since 2006.

Licensed in
MD, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

108 Finnegan Ct
Myrtle Beach, SC 29579-4205
Phone: (843) 909-9993
Fax: (843) 903-3366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA1294 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence C0000746 (MD)

Record details

NPI number1174533863
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 8, 2006
Last updated in NPPESJanuary 15, 2014

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