Organization
SHARON VITALE PA
Active
Other names
Mobile Wound and Skin Practitioners
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON VITALE (MANAGER)
(561) 427-5531
Entity
Organization
Contact information
Practice address
13515 155TH PL N, JUPITER, FL 33478-8576
(561) 427-5531
Mailing address
13515 155TH PL N, JUPITER, FL 33478-8576
(561) 427-5531
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114633300
—
FL
Enumeration date
05/18/2022
Last updated
08/17/2022
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