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NPI Code Detail

MEDICARE: MR. RICHARD VITOLO LPT

MEDICARE:  MR. RICHARD  VITOLO  LPT
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 Therapist13614FL

General Provider Information

NPI Number : 1497763320
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD VITOLO LPT
Provider Business Mailing Address
First Line : 2002 VILLAWAY E
Second Line :
City : SEBRING
State : FL
Zip : 33876-7944
Country : US
Telephone Number : 863-202-0485
Fax Number :
Provider Business Practice Location Address
First Line : 2002 VILLAWAY E
Second Line :
City : SEBRING
State : FL
Zip : 33876-7944
Country : US
Telephone Number : 863-202-0485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 06/17/2021

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Directions to “ MR. RICHARD VITOLO LPT” Practice Location

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