MEDICARE: MR. JAMES ALAN VITI PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	10167	FL

General Provider Information

NPI Number	:	1568479269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES ALAN VITI PT

Provider Business Mailing Address
First Line	:	2630 US 1 S
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32086-6191
Country	:	US
Telephone Number	:	904-829-3411
Fax Number	:

Provider Business Practice Location Address
First Line	:	2630 US 1 S
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32086-6191
Country	:	US
Telephone Number	:	904-829-3411
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	07/30/2025

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