DR. ELIZABETH ANNE VITARBO (NPI# 1235169079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235169079 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH ANNE VITARBO |
| Credential | M.D. |
| Practice Address |
1887 Kingsley Ave Suite 1900 Orange Park FL 32073-4416 |
| Practice Telephone | 9042767336 |
| Practice Fax Number | 9042767337 |
| Mailing Telephone | 9042767336 |
| Mailing Fax Number | 9042767337 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | ME93374 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 2760819-00 | 05 | |
| GA | 406220970A | 05 |
| Street Address |
1887 KINGSLEY AVE SUITE 1900 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919230 | Cheslovas Rothschild | Neurological Surgery | 1887 Kingsley Ave, Suite1900, Orange Park, FL 32073-4416 | 2005-08-16 |
| 1134598857 | Shavone Simmonds | Physician Assistant | 1887 Kingsley Ave, Suite 1900, Orange Park, FL 32073-4416 | 2015-09-23 |
| 1609194349 | Patricia C. Esquivel | Obstetrics & Gynecology | 1887 Kingsley Ave, Suite 1500, Orange Park, FL 32073-4416 | 2010-05-05 |
| 1639327893 | Ronnie Lee Bond | Psychiatry & Neurology | 1887 Kingsley Ave, Suite 1900, Orange Park, FL 32073-4416 | 2008-08-29 |
| 1548418700 | Christine Claire Pierre | Specialist | 1887 Kingsley Ave, Suite 1900, Orange Park, FL 32073-4416 | 2008-08-29 |
| 1912957853 | Anthony O. Udekwu | Surgery | 1887 Kingsley Ave, Suite 1900, Orange Park, FL 32073-4416 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881662716 | Michael B Horowitz | Neurological Surgery | 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073-4451 | 2006-03-08 |
| 1114919230 | Cheslovas Rothschild | Neurological Surgery | 1887 Kingsley Ave, Suite1900, Orange Park, FL 32073-4416 | 2005-08-16 |
| 1437152519 | Mark A Spatola | Neurological Surgery | 2021 Kingsley Ave, Ste 101, Orange Park, FL 32073-5128 | 2005-05-23 |
| 1043464639 | Timothy Derrick Do | Neurological Surgery | 4689 Us Highway 17, Suite 11, Orange Park, FL 32003-4831 | 2008-11-09 |
| 1861406720 | Orange Park Neurosurgery P.l. | Neurological Surgery | 2021 Kingsley Ave, Suite 101, Orange Park, FL 32073-5174 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063032514 | Jose Valerio Md Pllc | Neurological Surgery | 2741 Executive Park Dr Ste 2, Weston, FL 33331-3641 | 2020-04-24 |
| 1376172478 | Neuspine Ancillary LLC | Neurological Surgery | 510 Vonderburg Dr Ste 213, Brandon, FL 33511-5981 | 2020-04-02 |
| 1013542364 | Michelle Carnes | Neurological Surgery | 2575 Northbrooke Plaza Dr Unit 100, Naples, FL 34119-8105 | 2020-03-06 |
| 1962049163 | East Coast Neuro Spine Clinic, LLC | Neurological Surgery | 1601 S Apollo Blvd Ste C, Melbourne, FL 32901-4484 | 2019-12-06 |
| 1659913796 | Orlando Neurosurgical Solutions LLC | Neurological Surgery | 2706 Rew Cir # 205, Ocoee, FL 34761-4215 | 2019-10-10 |
| 1760047831 | North Broward Neurospinal Surgery Inc | Neurological Surgery | 1 W Sample Rd Ste 209, Pompano Beach, FL 33064-3547 | 2019-05-04 |
| 1932672912 | Volusia Neurosurgical Associates | Neurological Surgery | 311 N Clyde Morris Blvd Ste 440, Daytona Beach, FL 32114-2757 | 2019-01-02 |
| 1861961344 | Expert Neurosurgical Services LLC | Neurological Surgery | 600 Heritage Dr Ste 105, Jupiter, FL 33458-3098 | 2018-11-14 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1114492493 | Lloyd Maliner, Md Pa | Neurological Surgery | 301 Nw 84th Ave Ste 206, Plantation, FL 33324-1807 | 2018-10-12 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.