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NPI Code Detail

MEDICARE: DR. VINCENT MICHAEL FERLITA OD

MEDICARE:  DR. VINCENT MICHAEL FERLITA  OD
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
1152W00000XOptometrist6547OH

General Provider Information

NPI Number : 1003344359
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCENT MICHAEL FERLITA OD
Provider Business Mailing Address
First Line : 10041 US HIGHWAY 19
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-3785
Country : US
Telephone Number : 727-868-0780
Fax Number :
Provider Business Practice Location Address
First Line : 10041 US HIGHWAY 19 STE A
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-3785
Country : US
Telephone Number : 727-868-0780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2017
Last Update Date : 03/04/2026

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Directions to “ DR. VINCENT MICHAEL FERLITA OD” Practice Location

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