Provider Demographics
NPI:1871056804
Name:JANET HIDALGO, OD, PLLC
Entity type:Organization
Organization Name:JANET HIDALGO, OD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:O
Authorized Official - Last Name:HIDALGO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:813-373-5873
Mailing Address - Street 1:5011 W HILLSBOROUGH AVE STE F
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-5309
Mailing Address - Country:US
Mailing Address - Phone:813-373-5873
Mailing Address - Fax:813-609-6475
Practice Address - Street 1:5011 W HILLSBOROUGH AVE STE F
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-5309
Practice Address - Country:US
Practice Address - Phone:813-373-5873
Practice Address - Fax:813-609-6475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Multi-Specialty