Buckman, Vincent Todd

Buckman, Vincent Todd is an individual health care provider with primary practice located at 21297 Olean Blvd Ste A , Port Charlotte FL 33952-6704. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Buckman, Vincent Todd can be contacted via phone (855) 979-5700.

Contact Information

Primary practice address
21297 Olean Blvd Ste A Port Charlotte FL 33952-6704
Fax: (855) 979-5701
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME91222 Florida
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X ME91222 Florida

Profile Details

NPI number 1346248762
LBN Legal business name Buckman, Vincent Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2005
Last updated Nov 22nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346248762 NPPES
Florida Other 52178 BCBS
Florida Other P00284459 BCBS
Florida MEDICAID 271275000 BCBS
Florida Other P01160582 BCBS

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