Pack, Vitia Angela

Pack, Vitia Angela is an individual health care provider with primary practice located at 17160 Royal Palm Blvd Ste 2 , Weston FL 33326-2395. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Pack, Vitia Angela can be contacted via phone (954) 762-6440.

Contact Information

Primary practice address
17160 Royal Palm Blvd Ste 2 Weston FL 33326-2395
Phone: (954) 762-6440
Fax: (800) 618-2120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9106235 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1013133826
LBN Legal business name Pack, Vitia Angela
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Dec 13th, 2021 - about 4 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 1013133826 NPPES
Florida Other MA31540 LICENSE NUMBER

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