Healthcare Provider Details

I. General information

NPI: 1649604604
Provider Name (Legal Business Name): VITALE INSTITUTE, PL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2013
Last Update Date: 09/10/2021
Certification Date: 09/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27516 CASHFORD CIR SUITE 101
WESLEY CHAPEL FL
33544-6910
US

IV. Provider business mailing address

27516 CASHFORD CIR SUITE 101
WESLEY CHAPEL FL
33544-6910
US

V. Phone/Fax

Practice location:
  • Phone: 813-406-4400
  • Fax: 813-929-6633
Mailing address:
  • Phone: 813-406-4400
  • Fax: 813-929-6633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL D DIPASQUALE
Title or Position: OWNER
Credential: DO
Phone: 813-406-4400