Individual
VICTORIA VITALE-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
504 4TH AVE, MELBOURNE BEACH, FL 32951-2545
(321) 698-8210
Mailing address
504 4TH AVE, MELBOURNE BEACH, FL 32951-2545
(321) 698-8210
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME50929
FL
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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