Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vital Prosthetics, Inc

Organization Prosthetic/Orthotic Supplier · NPI 1114189669

Vital Prosthetics, Inc is a Prosthetic/Orthotic Supplier in Marianna, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4299 3rd Ave
Marianna, FL 32446-2136
Phone: (850) 526-0063
Fax: (850) 526-1317
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence PRO 66 (FL)

Record details

NPI number1114189669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dale Petersen — Pres/Owner · (850) 526-0063
NPI enumeratedJune 26, 2008
Last updated in NPPESSeptember 18, 2008
Mailing addressPo Box 430, Marianna, FL 32447-0430