Provider Demographics
NPI:1154454437
Name:VILDOR-DAZIL, ESTHER (MD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:VILDOR-DAZIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 S DOUGLAS RD
Mailing Address - Street 2:SUITE 820
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-3157
Mailing Address - Country:US
Mailing Address - Phone:305-447-4150
Mailing Address - Fax:305-675-8068
Practice Address - Street 1:806 S DOUGLAS RD
Practice Address - Street 2:SUITE 820
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-3157
Practice Address - Country:US
Practice Address - Phone:305-447-4150
Practice Address - Fax:305-675-8068
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME104379207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine