Individual
JEROME VANDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6000 TURKEY LAKE RD, SUITE 203, ORLANDO, FL 32819-4200
(407) 352-3508
(407) 352-1219
Mailing address
6000 TURKEY LAKE RD, SUITE 203, ORLANDO, FL 32819-4200
(407) 352-3508
(407) 352-1219
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT17672
FL
Other
Enumeration date
03/24/2008
Last updated
09/12/2016
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