JEROME VITALE

PORT LUCIE, FL
NPI1942423280
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN13975)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: NY  043398)
Enumeration Date2007-04-11
Last Update Date2024-09-06
Business Address
Dr. JEROME VITALE D.M.D.
1343 SE PORT ST LUCIE BLVD
PORT LUCIE, FL 34952
Phone number: 772-337-1111
Mailing Address
Dr. JEROME VITALE D.M.D.
1343 SE PORT ST LUCIE BLVD
PORT LUCIE, FL 34952
Phone number: 772-337-1111