Antonio Vicencio, M.D

NPI 1457474728 · on the registry since 2007 · sole proprietor

Practice

Address: 21 Hospital Dr
Suite 230
Palm Coast, FL 32164
Phone: (386) 586-3466
Fax: (386) 586-3467
Organisation at this address: Sjb Md Pa
Prc Associates Llc
Dennis T Alter Md Pa
Metcare Of Palm Coast
Ips Of Palm Coast Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 25

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida