Vitaly Piluiko
Cardiothoracic Vascular Surgeon
1893 Kingsley Ave Ste A
Orange Park
, Florida 32073
Vitaly Piluiko
Cardiothoracic Vascular Surgeon
1893 Kingsley Ave Ste A
Orange Park
, Florida 32073
(904) 400-6671
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Vitaly Piluiko
- 1824 King St Ste 200
- Jacksonville, FL
- Zip : 32204-4735
- Fax : (904) 400-6671
- Phone : (904) 384-3343
Second Address
- Vitaly Piluiko
- 1893 Kingsley Ave Ste A
- Orange Park, FL
- Zip : 32073
- Fax : (904) 400-6673
- Phone : (904) 592-4940
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 109452 | FL |
National Provider Identifier
| NPI | 1154398303 |
|---|---|
| Provider Name | Vitaly Piluiko |
| First Address | Jacksonville, FL 32204-4735 |
| Second Address | Orange Park, FL 32073 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/03/2006 |
| Last Update Date | 10/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 004424700 | (05) | FL |
| 11645 | (02) | FL |
| P01593698 | MEDICARE RAILROAD (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.