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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053306563 | NPPES |
Florida | MEDICAID | 381167100 |
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