Verdeflor, Vincent G

Verdeflor, Vincent G is an sole proprietor health care provider with primary practice located at 180 Pinnacles Dr Suite 100, Palm Coast FL 32164-2596. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Verdeflor, Vincent G can be contacted via phone (386) 313-1963.

Contact Information

Primary practice address
180 Pinnacles Dr Suite 100 Palm Coast FL 32164-2596
Fax: (386) 313-1962
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME97678 Florida

Profile Details

NPI number 1972785327
LBN Legal business name Verdeflor, Vincent G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2007
Last updated Aug 21st, 2017 - about 7 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 1972785327 NPPES
Florida MEDICAID 280112400

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