Vidaltia Corp.
NPI 1336008036 · Internal Medicine Physician · Fort Lauderdale, FL
Vidaltia Corp. is a Internal Medicine Physician organization in Fort Lauderdale, FL (NPI 1336008036).
Provider details
- NPI number
- 1336008036
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ezechiel Fenelon, Ceo(202) 802-0082
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Federally Qualified Health Center (FQHC)261QF0400X
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Infusion Therapy Clinic/Center261QI0500X
Ambulatory Health Care Facilities
- Federal Public Health Clinic/Center261QP0904X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Vidaltia
Registry dates
- Enumerated
- 2026-01-19
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Frequently asked questions
- What is Vidaltia Corp.'s NPI number?
- Vidaltia Corp.'s National Provider Identifier (NPI) is 1336008036, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vidaltia Corp.?
- Vidaltia Corp. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Vidaltia Corp. located?
- Vidaltia Corp.'s practice location on file with NPPES is 6456 Nw 5th Way, Fort Lauderdale, FL 33309-6112.
- What is Vidaltia Corp.'s phone number?
- The practice phone number listed in the NPPES registry for Vidaltia Corp. is (202) 802-0082.
- Who is the authorized official for Vidaltia Corp.?
- The authorized official listed on Vidaltia Corp.'s NPPES record is Ezechiel Fenelon, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vidaltia Corp.'s NPI active?
- Yes — Vidaltia Corp.'s NPI (1336008036) is active in the NPPES registry as of the last update on 2026-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.