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Individual

KEVIN LLOYD VITALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
5151 N 9TH AVE STE 200, PENSACOLA, FL 32504-8721
(850) 416-4970
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11001255
FL

Other

Enumeration date
02/01/2019
Last updated
10/15/2021
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