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Organization

WILLIAM MAC VANDERPOOL JR

Active
Other names
All Ways Accessible Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM MAC VANDERPOOL JR. (OWNER)
(863) 595-1440
Entity
Organization

Contact information

Practice address
2860 LAKE ALFRED RD, WINTER HAVEN, FL 33881-1435
(863) 595-1440
Mailing address
PO BOX 950, AUBURNDALE, FL 33823-0950
(863) 595-1440
(863) 595-1441

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1312052
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
026780500
FL
01
R9561
BCBS PROVIDER NUMBER
FL
Enumeration date
07/13/2005
Last updated
04/20/2017
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