Paul L Vitulli, DO
Radiology, Vascular & Interventional Radiology in Ponte Vedra Beach, FL. Individual provider (NPI-1).
NPI number1932142114
StatusActive
Last updated in NPPESDec 4, 2019
Details
- NPI
- 1932142114
- Entity type
- Individual (NPI-1)
- Name
- Paul L Vitulli
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2006
- Last updated
- Dec 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | OS10498 | FL | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | OS10498 | FL |
Practice location
330 A1a NSuite 322
Ponte Vedra Beach, FL 32082-1823
Phone 904-551-0703 · Fax 904-551-0709
Mailing address
915 W Monroe St Ste 100Jacksonville, FL 32204-1177
Phone 904-518-1398 · Fax 904-513-0231
Other practice locations
915 W Monroe St Ste 100
Jacksonville, FL 32204-1177
Jacksonville, FL 32204-1177
Phone 904-518-1398 · Fax 904-513-0231
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