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Vital Prosthetics, Inc.

Prosthetic/Orthotic Supplier in Marianna, FL · enumerated 2008 · authorized official Dale Petersen, Pres/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114189669

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Registry record

Entity type Organization (Type 2)
Legal business name Vital Prosthetics, Inc.
Practice address 4299 3rd Ave, Marianna, FL, 32446
Phone (850) 526-0063
Fax (850) 526-1317
Enumeration date Jun 26, 2008
Last updated in NPPES Sep 18, 2008

Taxonomy & classification

335E00000X Prosthetic/Orthotic Supplier Suppliers · License PRO 66 (FL) Primary

Authorized official

Name Dale Petersen
Title Pres/Owner
Phone (850) 526-0063

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Vital Prosthetics, Inc.?
NPPES lists Dale Petersen (Pres/Owner) as the authorized official for this organization.
What is the NPI number for Vital Prosthetics, Inc.?
The NPI for Vital Prosthetics, Inc. is 1114189669, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-09-18.