David L Vastola


Address: 11000 Prosperity Farms Rd, Suite 206, Palm Beach Gardens, FL 33410-3462

David L Vastola (NPI# 1720033152, PAC ID# 1850360553) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1720033152
PAC ID by PECOS 1850360553
Professional Enrollment ID I20060508000152
Full Name David L Vastola
Address 11000 Prosperity Farms Rd
Suite 206
Palm Beach Gardens
FL 33410-3462
Gender M
Credential DO
Medical School CHICAGO COLLEGE OF OSTEOPATHY
Graduation Year 1969
Primary Specialty INTERNAL MEDICINE
Secondary Specialties GASTROENTEROLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100253 JUPITER MEDICAL CENTER
100287 GOOD SAMARITAN MEDICAL CENTER

Other Locations

Address Phone Organization
11000 Prosperity Farms Rd, Suite 206, Palm Beach Gardens, FL 33410-3462

Organization Information

Office Location

Street Address 11000 PROSPERITY FARMS RD
SUITE 206
City PALM BEACH GARDENS
State FL
Zip 33410-3462

Physicians in the same location

Name Specialty Organization Address
Louise P Gaudreau Psychologist, Clinical 11000 Prosperity Farms Rd, Suite 200, Palm Beach Gardens, FL 33410-3470

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Competitor

Search similar physicians

City PALM BEACH GARDENS
Zip Code 33410
Specialty INTERNAL MEDICINE
City + Specialty PALM BEACH GARDENS + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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