Individual
MARIA VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
895 SILVERTIP RD, APOPKA, FL 32712-6403
(407) 484-7366
Mailing address
93 ESPERANTO DR, PALM COAST, FL 32164-6238
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11019769
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160921328
DL
CO
Enumeration date
03/29/2020
Last updated
05/24/2022
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