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Organization

VITACORE MEDICAL GROUP, PLLC

Active
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Organization

VITACORE MEDICAL GROUP, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL WILLIAM STAINTON NP (OWNER)
(321) 292-2740
Entity
Organization

Contact information

Practice address
223 PEREGRINE DRIVE, INDIALANTIC, FL 32903
(321) 292-2740
(878) 453-1836
Mailing address
870 N MIRAMAR AVE UNIT 233, INDIALANTIC, FL 32903-3054
(321) 292-2740
(878) 453-1836

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—

Other

Enumeration date
09/18/2023
Last updated
01/09/2024
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