Unaeze, Vitalis

Unaeze, Vitalis is an individual health care provider with primary practice located at 1839 Central Ave , St Petersburg FL 33713-8900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Unaeze, Vitalis can be contacted via phone (727) 322-1054.

Contact Information

Primary practice address
1839 Central Ave St Petersburg FL 33713-8900
Phone: (727) 322-1054
Fax: (727) 322-6184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0075910 Florida

Profile Details

NPI number 1396739157
LBN Legal business name Unaeze, Vitalis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Mar 8th, 2011 - about 13 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 1396739157 NPPES
Florida MEDICAID 254879800
Florida Other 110216450
Florida Other 110216450
Florida Other 44365

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