Frank John Vittimberga Jr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME124839 Issued in FL

Practice address

2325 NE 19TH Ave
Wilton Manors, FL 33305

Phone

(972) 890-3757

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Frank J Vittimberga Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Somerset Surgical Associates,PA

  • Surgery Physician
  • Dallas, TX
  • NPI 1306898572
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1548238462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W OAKLAND PARK BLVD",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131585",
            "telephone_number": "972-625-3611",
            "fax_number": "214-239-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 NE 19TH AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "972-890-3757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 W Wheatland Rd",
            "address_2": "POB II, Suite 330",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752373470",
            "country_code": "US",
            "telephone_number": "972-298-2875",
            "fax_number": "214-239-4964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITTIMBERGA",
        "first_name": "FRANK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME124839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178673301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANK",
            "last_name": "VITTIMBERGA",
            "middle_name": "J",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ronald Vazquez, LMHC
• Miznelle Zoreily Vega-Ortiz, PHARMD
• Aimet Victoria, LMT
• Erika Nicole Victorino, MD
• Marina Viola, MS, NCC, RMHCI, RMFT
• Caroline Vollaro, MS
• Deanna Christine Wagner, MS
• Walgreen Co
• Walgreen Co
• Walgreen Co

• Surgery Physician in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.