Vuletich, Mark A

Vuletich, Mark A is an individual health care provider with primary practice located at 1201 S Shannon Ave , Indialantic FL 32903-3439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Vuletich, Mark A can be contacted via phone (321) 213-0536.

Contact Information

Primary practice address
1201 S Shannon Ave Indialantic FL 32903-3439
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS8108 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X TL1401 South Carolina

Profile Details

NPI number 1255409017
LBN Legal business name Vuletich, Mark A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Mar 20th, 2014 - about 10 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 1255409017 NPPES
South Carolina MEDICAID 014013

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