Organization
VIDAL REHABILITATION CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A. HALL DC (OWNER)
(239) 540-0303
Entity
Organization
Contact information
Practice address
1314 CAPE CORAL PKWY E STE 203, CAPE CORAL, FL 33904-9643
(239) 540-0303
(239) 540-0301
Mailing address
1314 CAPE CORAL PKWY E STE 203, CAPE CORAL, FL 33904-9643
(239) 540-0303
(239) 540-0301
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH6817
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912090903
CHIROPRACTIC
FL
Enumeration date
05/08/2007
Last updated
08/22/2020
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