Vitalidad Of Cape Coral Llc | |
3101 Se 20th Pl Cape Coral FL 33904-4022 | |
(239) 218-1607 | |
Not Available |
Full Name | Vitalidad Of Cape Coral Llc |
---|---|
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 3101 Se 20th Pl, Cape Coral, Florida |
Authorized Official Name and Position | Dov Rapoport (CEO) |
Authorized Official Contact | 2392181607 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vitalidad Of Cape Coral Llc 3101 Se 20th Pl Cape Coral FL 33904-4022 Ph: (239) 218-1607 | Vitalidad Of Cape Coral Llc 3101 Se 20th Pl Cape Coral FL 33904-4022 Ph: (239) 218-1607 |
NPI Number | 1497179444 |
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Provider Enumeration Date | 02/11/2014 |
Last Update Date | 02/24/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497179444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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