Individual
MRS. ANN-MARIE VITALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S NOVA RD, ORMOND BEACH, FL 32174
(386) 228-9700
(386) 228-9701
Mailing address
800 S NOVA RD, ORMOND BEACH, FL 32174-9048
(386) 228-9700
(386) 228-9701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03180313
FL
Other
Enumeration date
03/27/2018
Last updated
10/23/2018
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