Vicente C Florida Md Pa | |
1309 Garden St Titusville FL 32796-2548 | |
(321) 267-4700 | |
(321) 747-0347 |
Full Name | Vicente C Florida Md Pa |
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Speciality | Internal Medicine |
Location | 1309 Garden St, Titusville, Florida |
Authorized Official Name and Position | Vicente C Florida (PRESIDENT/OWNER) |
Authorized Official Contact | 3212674700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vicente C Florida Md Pa Po Box 339 Titusville FL 32781-0339 Ph: (321) 267-4700 | Vicente C Florida Md Pa 1309 Garden St Titusville FL 32796-2548 Ph: (321) 267-4700 |
NPI Number | 1154519791 |
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Provider Enumeration Date | 10/09/2007 |
Last Update Date | 11/02/2007 |
Identifier | Type | State | Issuer |
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1154519791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME0071351 (Florida) | Primary |
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