Individual
PETER ANDREW VITULLI JR.
Active
Individual
PETER ANDREW VITULLI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
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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