Alalu, Vitaly Jaime

Alalu, Vitaly Jaime is an individual health care provider with primary practice located at 6944 Lake Worth Rd 2Nd Floor, Lake Worth FL 33467-2948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Alalu, Vitaly Jaime can be contacted via phone (561) 732-2900.

Contact Information

Primary practice address
6944 Lake Worth Rd 2Nd Floor Lake Worth FL 33467-2948
Phone: (561) 732-2900
Fax: (561) 740-9064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME29180 Florida

Profile Details

NPI number 1033142377
LBN Legal business name Alalu, Vitaly Jaime
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jan 19th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033142377 NPPES
Florida MEDICAID 065172900

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