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Individual

AMY YOMIKO VITTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 294-5445
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
(352) 273-6818

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT191172
PA
207RI0200X
Infectious Disease Physician
Primary
ME117679
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009698800
FL
Enumeration date
07/03/2007
Last updated
12/20/2013
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