Individual
PETER ANDREW VITULLI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4600 MILITARY TRL, SUITE 107, JUPITER, FL 33458-4810
(561) 427-2000
(561) 776-2565
Mailing address
4600 MILITARY TRL, SUITE 107, JUPITER, FL 33458-4810
(561) 427-2000
(561) 776-2565
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS8005
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05615546
AETNA
FL
01
—
1803436
UNITED
FL
01
—
2299239
GHI
FL
01
—
291080
AVMED
FL
01
—
81700
BCBS
FL
Enumeration date
05/02/2006
Last updated
12/14/2015
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