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

Nicole Vidal

Individual provider Physical Therapy Assistant · NPI 1891387478

Nicole Vidal is a Physical Therapy Assistant in Miami Lakes, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

14900 NW 79th Ct Ste 101
Miami Lakes, FL 33016-5869
Phone: (305) 821-0502
Fax: (305) 362-5209
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 30831 (FL)

Record details

NPI number1891387478
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2021
Last updated in NPPESFebruary 5, 2021
Certification dateFebruary 5, 2021
Mailing address14900 Nw 79th Ct Ste 101, Miami Lakes, FL 33016-5869

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