VICTORIA VITALE-LEWIS NPI 1093834954

NPI Information

NPI: 1093834954
Provider Name: VICTORIA VITALE-LEWIS
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
504 4TH AVE
MELBOURNE, FL
ZIP 32951
Phone: (321) 698-8210
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VICTORIA VITALE-LEWIS is a plastic and reconstructive surgery surgery in Melbourne, FL. The provider is a surgeon who specializes in plastic and reconstructive surgery. VICTORIA VITALE-LEWIS NPI is 1093834954. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

504 4TH AVE
MELBOURNE, FL
ZIP 32951-545
Phone: (321) 698-8210
Fax: (321) 698-8210

The provider's authorized official is Victoria Vitale- Vitale-lewis .
The authorized official title is Owner,president and has the following contact phone number (321) 698-8210.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 3/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	ME0050929	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D84765	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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