Individual
EMILY VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1600 SW ARCHER RD, DEPARTMENT OF PEDIATRICS, GAINESVILLE, FL 32610-3003
(239) 464-7685
Mailing address
1600 SW ARCHER RD, DEPARTMENT OF PEDIATRICS PO BOX 100296, GAINESVILLE, FL 32610-3003
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
9389333
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021034500
—
FL
Enumeration date
04/17/2017
Last updated
09/12/2017
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