# SHARON VITALE PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mobile Wound and Skin Practitioners
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508503756
- **Authorized official:** SHARON VITALE (MANAGER)
- **Authorized official phone:** (561) 427-5531

## Contact information

- **Practice address:** 13515 155TH PL N, JUPITER, FL 33478-8576
- **Practice address phone:** (561) 427-5531
- **Mailing address:** 13515 155TH PL N, JUPITER, FL 33478-8576
- **Mailing address phone:** (561) 427-5531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2022
- **Last updated:** 08/17/2022