DR. Jerome Vitale, D.M.D.
NPI #1942423280 in Port Lucie, Florida
Provider Information
- NPI Number
- 1942423280
- Entity Type
- Individual
- Name
- DR. Jerome Vitale, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Sep 6, 2024
Practice Location
- Address
- 1343 SE PORT ST LUCIE BLVD
- City
- Port Lucie
- State
- Florida
- ZIP Code
- 34952
- Phone
- (772) 337-1111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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