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NPI Code Detail

MEDICARE: LUCIE PASCAL VIDAL

MEDICARE: LUCIE PASCAL VIDAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT24528FL

General Provider Information

NPI Number : 1053291252
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCIE PASCAL VIDAL
Provider Business Mailing Address
First Line : 2013 NW JUANITA PL
Second Line :
City : CAPE CORAL
State : FL
Zip : 33993-4202
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13880 SHELL POINT PLZ
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-3503
Country : US
Telephone Number : 239-415-5477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2025
Last Update Date : 09/08/2025

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Directions to “ LUCIE PASCAL VIDAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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