Piluiko, Vitaly
Piluiko, Vitaly is an individual health care provider with primary practice located at 1893 Kingsley Ave Ste A, Orange Park FL 32073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Piluiko, Vitaly can be contacted via phone (904) 592-4940.Contact Information
Primary practice address
1893 Kingsley Ave Ste A
Orange Park FL 32073
Phone: (904) 592-4940
Fax: (904) 400-6673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 109452 | Florida |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD2019-0519 | New Mexico |
Profile Details
| NPI number | 1154398303 |
|---|---|
| LBN Legal business name | Piluiko, Vitaly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Jul 11th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154398303 | NPPES |
| Florida | Other | P01593698 | MEDICARE RAILROAD |
| Florida | MEDICAID | 004424700 | MEDICARE RAILROAD |
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