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NPI Code Detail

MEDICARE: DONNABELLE VITUG

MEDICARE: DONNABELLE VITUG
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
1225100000XPhysical Therapist9493FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11982816435OTHERFLNPI

General Provider Information

NPI Number : 1982816435
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNABELLE VITUG
Provider Business Mailing Address
First Line : 6015 44TH CT E
Second Line :
City : BRADENTON
State : FL
Zip : 34203-7022
Country : US
Telephone Number : 941-321-3397
Fax Number : 941-739-6028
Provider Business Practice Location Address
First Line : 6015 44TH CT E
Second Line :
City : BRADENTON
State : FL
Zip : 34203-7022
Country : US
Telephone Number : 941-321-3397
Fax Number : 941-739-6028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2007
Last Update Date : 09/29/2007

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Directions to “ DONNABELLE VITUG ” Practice Location

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