JEROME VANDAL (NPI# 1962674564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962674564 |
| Entity Type | Individual |
| Full Name | JEROME VANDAL |
| Credential | P.T. |
| Practice Address |
6000 Turkey Lake Rd Suite 203 Orlando FL 32819-4200 |
| Practice Telephone | 4073523508 |
| Practice Fax Number | 4073521219 |
| Mailing Telephone | 4073523508 |
| Mailing Fax Number | 4073521219 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2016-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT17672 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6000 TURKEY LAKE RD SUITE 203 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32819-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629037452 | Select Physical Therapy Holdings Inc | Clinic/Center | 6000 Turkey Lake Rd, Ste 203, Orlando, FL 32819 | 2006-03-21 |
| 1356961270 | Holly Bottura | Occupational Therapist | 6000 Turkey Lake Rd, Orlando, FL 32819-4200 | 2020-04-21 |
| 1912548751 | Stephanie Levine | Nurse Practitioner | 6000 Turkey Lake Rd, Orlando, FL 32819-4200 | 2019-10-02 |
| 1982196150 | Vanessa Lynn Chevere | Occupational Therapy Assistant | 6000 Turkey Lake Rd, Orlando, FL 32819-4200 | 2018-06-04 |
| 1679062525 | Alison Bongo | Speech-Language Pathologist | 6000 Turkey Lake Rd, Orlando, FL 32819-4200 | 2018-05-07 |
| 1619485562 | Shanita Venise Tyson | Occupational Therapist | 6000 Turkey Lake Rd, Orlando, FL 32819-4200 | 2018-01-12 |
| 1255852935 | Anna-liisa Dehner | Occupational Therapist | 6000 Turkey Lake Rd, Suite 114, Orlando, FL 32819-4205 | 2017-07-03 |
| 1487187266 | Karl Gregory Kurtz | Occupational Therapist | 6000 Turkey Lake Rd, #114, Orlando, FL 32819-4200 | 2017-04-07 |
| 1821520693 | Florida Concierge Dental Care, P.a. | Clinic/Center | 6000 Turkey Lake Rd, #109, Orlando, FL 32819-4200 | 2017-03-31 |
| 1023559119 | Danielle Sanders | Occupational Therapy Assistant | 6000 Turkey Lake Rd, #114, Orlando, FL 32819-4200 | 2017-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
| 1437704756 | Byron Martin Randolph | Physical Therapist | 7932 Sand Lake Rd Ste 203, Orlando, FL 32819 | 2019-08-04 |
| 1225536303 | Alliance Dme LLC | Durable Medical Equipment & Medical Supplies | 7031 Grand National Dr Ste 106b, Orlando, FL 32819 | 2018-01-24 |
| 1417465584 | Marckenson Gerson Janvier | Nurse Practitioner | 9401 Turkey Lake Rd, Orlando, FL 32819 | 2018-01-11 |
| 1871003442 | Sabeen Hasni | Pharmacist | 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 | 2017-10-09 |
| 1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
| 1215483565 | Krista Richardson | Physical Therapist | 9102 Universal Blvd., Orlando, FL 32819 | 2016-08-28 |
| 1841646536 | Kiara Serrano | Social Worker | 7509 Pinemount Dr, Orlando, FL 32819 | 2016-05-11 |
| 1659749752 | Angels for Kids On-call | Case Management | 7550 Future Drive Suite 105, Orlando, FL 32819 | 2015-09-04 |
| 1932589462 | Krista Jean Cain | Counselor | 7758 Wallace Rd Ste Vi, Orlando, FL 32819 | 2015-05-29 |
| Find all providers in zip 32819 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944155 | University of Central Florida | Physical Therapist | 4098 Libra Dr Ste 114, Orlando, FL 32816-8026 | 2020-05-26 |
| 1437674991 | Steven Mcnew | Physical Therapist | 12829 Maryland Woods Ct, Orlando, FL 32824-7510 | 2017-08-06 |
| 1457491151 | Stephanie Engelberg | Physical Therapist | 1301 Sligh Blvd, 1301 Sligh Blvd, Orlando, FL 32806-3901 | 2007-02-08 |
| 1356301030 | Eric Paul Specht | Physical Therapist | 5165 Adanson St, Orlando, FL 32804-1331 | 2006-03-25 |
| 1356989313 | David Lee | Physical Therapist | 8701 Maitland Summit Blvd, Orlando, FL 32810-5915 | 2019-12-20 |
| 1295393932 | Ethan A Davis | Physical Therapist | 3451 Technological Ave Ste 1, Orlando, FL 32817-8353 | 2019-05-29 |
| 1871002717 | Jeannie Rosch Leavitt | Physical Therapist | 8701 Maitland Summit Blvd, Orlando, FL 32810-5915 | 2017-09-22 |
| 1477910131 | Sheila Klausner | Physical Therapist | 4098 Libra Dr, Suite 114, Orlando, FL 32816-8026 | 2016-01-25 |
| 1982069720 | Laura Podschun | Physical Therapist | 8701 Maitland Summit Blvd, Orlando, FL 32810-5915 | 2015-12-21 |
| 1417323577 | Alyssa Lynn Macgeorge | Physical Therapist | 12301 Lake Underhill Rd Ste 118, Orlando, FL 32828-4510 | 2015-08-12 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.