PAUL L VITULLI (NPI# 1932142114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932142114 |
Entity Type | Individual |
Full Name | PAUL L VITULLI |
Credential | DO |
Practice Address |
330 A1a N Suite 322 Ponte Vedra Beach FL 32082-1823 |
Mailing Address |
915 W Monroe St Ste 100 Jacksonville FL 32204-1177 |
Practice Telephone | 9045510703 |
Practice Fax Number | 9045510709 |
Mailing Telephone | 9045181398 |
Mailing Fax Number | 9045130231 |
Enumeration Date | 2006-06-14 |
Last Update Date | 2019-12-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
OS10498 | FL | Allopathic & Osteopathic Physicians |
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
OS10498 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 000818800 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
915 W Monroe St Ste 100, Jacksonville, FL 322041177 | 9045181398 | 9045130231 |
Street Address |
330 A1A N SUITE 322 |
City | PONTE VEDRA BEACH |
State | FL |
Zip Code | 32082-1823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235112517 | Megan E Deacon-casey | Radiology | 330 A1a N, Suite 322, Ponte Vedra Beach, FL 32082-1823 | 2005-11-21 |
1922524461 | Buchra Watfa | Radiology | 330 A1a N, Ponte Vedra Beach, FL 32082-1823 | 2017-08-16 |
1457755373 | First Coast Vein, LLC | Specialist | 330 A1a N, Suite 321, Ponte Vedra Beach, FL 32082-1823 | 2014-10-21 |
1285870089 | Diagnostic Imaging Pa | Radiology | 330 A1a N, Suite 322, Ponte Vedra Beach, FL 32082-1823 | 2008-12-29 |
1457400590 | Stephanie Michelle Ceparano | Dental Hygienist | 330 A1a N, Ste 326, Ponte Vedra Beach, FL 32082-1823 | 2007-01-09 |
1992893788 | Traci W Sexton | Dental Hygienist | 330 A1a N, Suite 326, Ponte Vedra Beach, FL 32082-1823 | 2006-10-10 |
1235232232 | Albert Joseph Bauknecht | Dentist | 330 A1a N, Ste. 326, Ponte Vedra Beach, FL 32082-1823 | 2006-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
1568988129 | Mustafa Bakir | General Practice | 1102 A1a, Ponte Vedra Beach, FL 32082 | 2017-08-16 |
1457890584 | Angelyn Sorgen | Nurse Practitioner | 1102 Hwy A1a, Suite 104, Ponte Vedra Beach, FL 32082 | 2017-02-22 |
1033575121 | Balanced Physician Care Pa | Family Medicine | 115 Professional Park Drive, Suite 104, Ponte Vedra Beach, FL 32082 | 2016-01-06 |
1528436060 | Robert Thompson II | Chiropractor | 135 Professional Drive, Suite 105, Ponte Vedra Beach, FL 32082 | 2015-09-14 |
1144628439 | Integrative Medical Group, Usa, LLC | Clinic/Center | 1102 A1a North, Suite 104, Ponte Vedra Beach, FL 32082 | 2014-12-18 |
1811308901 | Janice Wachtel, Phd, LLC | Psychologist | 100 Executive Way, Suite 110, Ponte Vedra Beach, FL 32082 | 2014-05-12 |
1578991154 | Nicole Theiler | Counselor | 171 Canal Blvd, Ponte Vedra Beach, FL 32082 | 2013-10-17 |
1982948006 | Daisamma Varghese | Nurse Practitioner | 860 A1an, Ponte Vedra, FL 32082 | 2012-11-15 |
Find all providers in zip 32082 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922524461 | Buchra Watfa | Radiology | 330 A1a N, Ponte Vedra Beach, FL 32082-1823 | 2017-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871100917 | Emergency and Interventional Specialists, Inc | Radiology | 5626 Gulf Dr Ste 100, New Port Richey, FL 34652-4020 | 2020-09-23 |
1548879794 | Vascular Specialist of Venice and Sarasota Pl | Radiology | 6600 University Parkway, #102, Sarasota, FL 34240 | 2020-07-23 |
1164060497 | Advanced Vascular Cardiac & Veins, Pllc | Radiology | 7480 Bird Rd Ste 560, Miami, FL 33155-6657 | 2019-12-17 |
1801437041 | Premier Interventional & Diagnostic Radiology, Corp | Radiology | 8495 Sw 56th St, Miami, FL 33155-5426 | 2019-09-30 |
1003476169 | Hss-florida Physicians LLC | Radiology | 1395 S State Road 7 Ste 410, Wellington, FL 33414-9327 | 2019-06-19 |
1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
1972006351 | Minimally Invasive Vascular, Inc | Radiology | 2720 Us Highway 1 S Ste C, St Augustine, FL 32086-6301 | 2018-03-13 |
1124530761 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 313 W Bass St, Kissimmee, FL 34741-5011 | 2017-11-03 |
1942727516 | Inspired Interventional Radiology Services LLC | Radiology | 11011 Sheridan St Ste 102, Hollywood, FL 33026-1501 | 2017-08-24 |
1386004901 | Precision Medical Imaging and Therapeutic Institute LLC | Radiology | 2540 Green Forest Ln, Suite #101, Lutz, FL 33558-5388 | 2016-02-24 |
Find all providers with the same taxonomy |
City | PONTE VEDRA BEACH |
Zip Code | 32082 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.