Organization · Type 2 NPI

Vidaltia Corp.

Internal Medicine Physician · Fort Lauderdale, FL

NPI number 1336008036 Active

Practice location

6456 NW 5th Way
Fort Lauderdale, FL 33309-6112

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician Primary	207R00000X	None listed
Federally Qualified Health Center (FQHC)	261QF0400X	None listed
Health Service Clinic/Center	261QH0100X	None listed
Infusion Therapy Clinic/Center	261QI0500X	None listed
Federal Public Health Clinic/Center	261QP0904X	None listed
State or Local Public Health Clinic/Center	261QP0905X	None listed
Primary Care Clinic/Center	261QP2300X	None listed
Pain Clinic/Center	261QP3300X	None listed
VA Clinic/Center	261QV0200X	None listed
Occupational Medicine Clinic/Center	261QX0100X	None listed
Chronic Disease Hospital	281P00000X	None listed
Exclusive Provider Organization	302F00000X	None listed
Health Maintenance Organization	302R00000X	None listed
Preferred Provider Organization	305R00000X	None listed
Point of Service	305S00000X	None listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1336008036

Vidaltia Corp.'s National Provider Identifier is 1336008036, issued on Jan 19, 2026. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on May 26, 2026.