Individual
DR. STEPHEN JOSEPH VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2235 VENETIAN COURT, SUITE 1, NAPLES, FL 34109
(239) 596-9337
(239) 596-9466
Mailing address
2235 VENETIAN COURT, SUITE 1, NAPLES, FL 34109
(239) 596-9337
(239) 596-9466
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2002-0127
NM
207N00000X
Dermatology Physician
Primary
ME75435
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76106063
—
NM
Enumeration date
07/31/2006
Last updated
11/11/2010
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