Devincentis, Robert

Devincentis, Robert is an individual health care provider with primary practice located at 14255 Beach Blvd , Jacksonville FL 32250-1545. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Devincentis, Robert can be contacted via phone (904) 223-1616.

Contact Information

Primary practice address
14255 Beach Blvd Jacksonville FL 32250-1545
Phone: (904) 223-1616
Fax: (904) 223-1702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X CH0007521 Florida

Profile Details

NPI number 1053306563
LBN Legal business name Devincentis, Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Apr 23rd, 2008 - about 16 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 1053306563 NPPES
Florida MEDICAID 381167100

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