# VITA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376920520
- **Authorized official:** MR. JOSEPH CORNEILLE (PRESIDENT PULMONARY SERVICES)
- **Authorized official phone:** (305) 725-7593

## Contact information

- **Practice address:** 4302 HOLLYWOOD BLVD, SUITE 141, HOLLYWOOD, FL 33021-6635
- **Practice address phone:** (305) 725-7593
- **Mailing address:** 4302 HOLLYWOOD BLVD, SUITE 141, HOLLYWOOD, FL 33021-6635
- **Mailing address phone:** (305) 725-7593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2279C0205X | Critical Care Registered Respiratory Therapist | RT9664 | FL | Yes |

## Other

- **Enumeration date:** 04/27/2015
- **Last updated:** 04/27/2015