Individual
KATHERINE LAVILLA VITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1613 HARRISON PKWY, BUILDING C SUITE 200, SUNRISE, FL 33323-2896
(954) 838-2371
Mailing address
2708 TIMBERGROVE ST, SAINT CLOUD, FL 34771-9318
(305) 761-8078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9228533
FL
Other
Enumeration date
02/22/2016
Last updated
07/28/2022
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