Organization
VITALIDAD OF CAPE CORAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOV RAPOPORT MD (CEO)
(239) 218-1607
Entity
Organization
Contact information
Practice address
3101 SE 20TH PL, CAPE CORAL, FL 33904-4022
(239) 218-1607
Mailing address
3101 SE 20TH PL, CAPE CORAL, FL 33904-4022
(239) 218-1607
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/11/2014
Last updated
02/24/2014
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