| Doctor Name: | MRS. SHARON ANN VITALE |
| NPI Number: | 1124383658 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P.-C |
| License Number: | 9317956 |
| Business Practice Address: | 173 Magnolia Way Tequesta, FL - 334692113 |
| Business Phone Number: | 5614275531 |
| Business Fax Number: | |
| Mailing Address: | 173 Magnolia Way, TEQUESTA |
| State: | FL |
| Postal Code: | 334692113 |
| Phone Number: | 5614275531 |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2012 |
| NPI Last Update Date: | 07/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 9317956 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |