Provider Demographics
NPI:1508172156
Name:BARTHOLOMEW VITELLI INC
Entity Type:Organization
Organization Name:BARTHOLOMEW VITELLI INC
Other - Org Name:PHYSICIANS HEALTH CENTER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTHOLOMEW
Authorized Official - Suffix:
Authorized Official - Credentials:DC DACAN
Authorized Official - Phone:352-351-5343
Mailing Address - Street 1:PO BOX 4843
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-4843
Mailing Address - Country:US
Mailing Address - Phone:352-351-5343
Mailing Address - Fax:
Practice Address - Street 1:420 SE 17TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4433
Practice Address - Country:US
Practice Address - Phone:352-351-5343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-20
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3848111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty