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Individual

DR. FRANK JOHN VITTIMBERGA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2325 NE 19TH AVE, WILTON MANORS, FL 33305
(972) 890-3757
Mailing address
5000 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33313-1585
(972) 625-3611
(214) 239-4964

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME124839
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
178673301
TX
Enumeration date
03/08/2006
Last updated
06/24/2019
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