Vitacore Medical Group, Pllc
NPI #1720866213 in Indialantic, Florida
Provider Information
- NPI Number
- 1720866213
- Entity Type
- Organization
- Organization Name
- Vitacore Medical Group, Pllc
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Sep 18, 2023
- Last Updated
- Jan 9, 2024
Practice Location
- Address
- 223 PEREGRINE DRIVE
- City
- Indialantic
- State
- Florida
- ZIP Code
- 32903
- Phone
- (321) 292-2740
Authorized Official
- Name
- MICHAEL WILLIAM STAINTON, NP
- Title
- OWNER
- Phone
- (321) 292-2740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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