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JORGE VIDAL
NPI 1912135815
Counselor - Mental Health in Melbourne, FL

Active since June 30, 2009
4450 W EAU GALLIE BLVD, MELBOURNE, FL 32934(321) 752-3100 Get Directions Write a Review

NPPES record last updated: October 23, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jorge Vidal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORGE VIDAL (NPI 1912135815) is an individual mental health provider in Melbourne, Florida and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1912135815
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJORGE VIDAL
Location Address4450 W EAU GALLIE BLVDMelbourne, FL 32934-7213
Mailing Address4450 W Eau Gallie Blvd, 200Melbourne, FL 32934-7213 · (321) 722-5200
Phone(321) 752-3100
Sole ProprietorNo
Enumeration DateJune 30, 2009
Last NPPES UpdateOctober 23, 2015
✔ NPI 1912135815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
4450 W EAU GALLIE BLVD, Melbourne, FL 32934
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERTA NEVES
Physical Therapist
4450 W EAU GALLIE BLVD
MELBOURNE, FL 32934
Brevard County (321) 255-6627
MR. MICHAEL E SPENCER LMHC
Counselor (Mental Health)
4450 W EAU GALLIE BLVD, SUITE 200
MELBOURNE, FL 32934
Brevard County (321) 752-3100
KAILASH GANDHI LMHC
Counselor (Mental Health)
4450 W EAU GALLIE BLVD
MELBOURNE, FL 32934
Brevard County (321) 752-3100
DR. JENNIFER KRYSZCZYNSKI PT, DPT, MS
Physical Therapist
4450 W EAU GALLIE BLVD, SUITE 180
MELBOURNE, FL 32934
Brevard County (321) 255-6627
DALE KING
Case Manager/Care Coordinator
4450 W EAU GALLIE BLVD
MELBOURNE, FL 32934
Brevard County (321) 752-3100
MS. ELLEN MARGARET WARINSKY APRN
Nurse Practitioner (Family)
4450 W EAU GALLIE BLVD
MELBOURNE, FL 32934
Brevard County (321) 751-6671
MELISSA WILBORN LMHC
Counselor (Mental Health)
4450 W EAU GALLIE BLVD
MELBOURNE, FL 32934
Brevard County (321) 752-3100
KENNETH WHITLOCK
Case Manager/Care Coordinator
4450 W EAU GALLIE BLVD, 200
MELBOURNE, FL 32934
Brevard County (321) 726-2860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jorge Vidal's NPI number?

The NPI number for Jorge Vidal is 1912135815. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Jorge Vidal located?

Jorge Vidal practices at 4450 W Eau Gallie Blvd, Melbourne, FL 32934. The listed phone number is (321) 752-3100.

What is Jorge Vidal's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jorge Vidal was last updated on October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.