JORGE VIDAL

MELBOURNE, FL
NPI1912135815
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2009-06-30
Last Update Date2015-10-23
Business Address
-- JORGE VIDAL
4450 W EAU GALLIE BLVD
MELBOURNE, FL 32934-7213
Phone number: 321-752-3100
Mailing Address
-- JORGE VIDAL
4450 W EAU GALLIE BLVD 200
MELBOURNE, FL 32934-7213
Phone number: 321-722-5200
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