Individual
MR. JOSEPH VITAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
37026 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1109
(727) 938-1935
Mailing address
7683 DEER FOOT DR, NEW PORT RICHEY, FL 34653-5004
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-013555
FL
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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