Active NPI
Elizabeth Anne Vitarbo, MD
- Neurological Surgery Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME93374
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-1370 - Phone
- (352) 273-9000
- Fax
- (352) 392-8413
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ME93374 | FL | Primary |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-1370
Mailing address
PO Box 100265
Gainesville, FL 32610-0265
Phone (352) 273-9000
Other practice location 1
1801 W Sample Rd Ste 101
Deerfield Beach, FL 33064-1370
Phone (954) 888-3800
Other practice location 2
311 N Clyde Morris Blvd
Daytona Beach, FL 32114-2781
Phone (386) 255-2340
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2760819-00 | Medicaid | FL | |
| 406220970A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME93374 | FL | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Neurological Surgery | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients |
Locations
311 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 241-1020
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
Neurological Surgery
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687564800000",
"number": "1235169079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100265",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100265",
"telephone_number": "352-273-9000",
"fax_number": "352-392-8413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326101370",
"telephone_number": "352-273-9000",
"fax_number": "352-392-8413"
}
],
"practiceLocations": [
{
"address_1": "1801 W Sample Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "330641370",
"country_code": "US",
"telephone_number": "954-888-3800",
"fax_number": "954-888-3808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "311 N Clyde Morris Blvd",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321142781",
"country_code": "US",
"telephone_number": "386-255-2340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VITARBO",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2023-06-24",
"certification_date": "2023-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME93374",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2760819-00",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "406220970A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.