Paul Vitulli (NPI# 1932142114, PAC ID# 6507756624) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1932142114 |
| PAC ID by PECOS | 6507756624 |
| Professional Enrollment ID | I20090327000241 |
| Full Name | Paul Vitulli |
| Organization Legal Name | DUVAL VASCULAR CENTER LLC |
| Address |
915 W Monroe St Suite 100 Jacksonville FL 32204-1177 |
| Phone Number | 9045181398 |
| Gender | M |
| Credential | DO |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1997 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6305131251 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 915 W Monroe St, Suite 100, Jacksonville, FL 32204-1177 | 9045181398 | DUVAL VASCULAR CENTER LLC |
| Organization Legal Name | DUVAL VASCULAR CENTER LLC |
| Physicians | 1 |
| Street Address |
915 W MONROE ST SUITE 100 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32204-1177 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal A Gonzalez | Nurse Practitioner | Northeast Florida Endocrine and Diabetes Associates Pa | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 |
| Melody A Perez | Nurse Practitioner | Northeast Florida Endocrine and Diabetes Associates Pa | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 |
| Kathleen A Fort | Nurse Practitioner | Northeast Florida Endocrine and Diabetes Associates Pa | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 |
| Michelle Lynn Molenaar | Nurse Practitioner | Northeast Florida Endocrine and Diabetes Associates Pa | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 |
| Antoinette E Geissmann | Nurse Practitioner | Northeast Florida Endocrine and Diabetes Associates Pa | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 |
| Lori A Hernandez | Nurse Practitioner | Northeast Florida Endocrine and Diabetes Associates Pa | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 |
| Germina R Rio | Nurse Practitioner | Northeast Florida Endocrine and Diabetes Associates Pa | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 |
| Adam O Smith | Nurse Practitioner | Northeast Florida Endocrine and Diabetes Associates Pa | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 |
| Heidi D Brown | Nurse Practitioner | Northeast Florida Endocrine and Diabetes Associates Pa | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 |
| Konstantinos E Maniatakis | Nurse Practitioner | Northeast Florida Endocrine and Diabetes Associates Pa | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine L Walsh | Physician Assistant | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| William M Mentz | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Elizabeth Lee Gatch | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kayela Faye Moore | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Mitchell S Rothstein | Pulmonary Disease | 425 N Lee St, Suite 202, Jacksonville, FL 32204-1128 | |
| Eyad S Kawar | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Diana I Mercado | Infectious Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Jose M Soto Soto | Internal Medicine | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| Joseph P Orallo | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kasey E Treger | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Find all physicians in zip 32204 | |||
| City | JACKSONVILLE |
| Zip Code | 32204 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | JACKSONVILLE + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Paul Vitulli.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.