Vital Prosthetics, Inc.

LBN: Vital Prosthetics, Inc.
Vital Prosthetics, Inc. is an health care organization with primary practice located at 4299 3Rd Ave , Marianna FL 32446-2136. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Vital Prosthetics, Inc. can be contacted via phone (850) 526-0063, or through Petersen, Dale E via phone (850) 526-0063.

Contact Information

Primary practice address
4299 3Rd Ave Marianna FL 32446-2136
Fax: (850) 526-1317
Authorized official contact:
Name: Petersen, Dale E Certified Psychologist (CP)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X PRO 66 Florida

Profile Details

NPI number 1114189669
LBN Legal business name Vital Prosthetics, Inc.
DBA Doing business as
Authorized official Petersen, Dale E Certified Psychologist (CP)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2008
Last updated Sep 18th, 2008 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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