Organization
CORAL REEF EKG ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINO VITIELLO M.D. (PRESIDENT)
(305) 255-2500
Entity
Organization
Contact information
Practice address
9333 SW 152ND ST, VILLAGE OF PALMETTO BAY, FL 33157-1778
(305) 251-2500
Mailing address
8353 SW 124TH ST, SUITE #208, MIAMI, FL 33156-5851
(305) 235-9078
(305) 235-8290
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379353202
—
FL
Enumeration date
02/27/2007
Last updated
07/21/2022
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