Jorge Vidal
Jorge Vidal is a Case Manager/Care Coordinator in Melbourne, Florida. Registered with an NPI since 2009.
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
4450 W Eau Gallie BlvdMelbourne, FL 32934-7213
Phone: (321) 752-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1912135815 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 30, 2009 |
| Last updated in NPPES | October 23, 2015 |
| Mailing address | 4450 W Eau Gallie Blvd, 200, Melbourne, FL 32934-7213 |
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