| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 11/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154519791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0071351 (Florida) | Primary |
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