Vickers, William Rob

Vickers, William Rob is an individual health care provider with primary practice located at 555 Nw Lake Whitney Pl Ste 105 , Port Saint Lucie FL 34986-1623. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Vickers, William Rob can be contacted via phone (772) 448-4865.

Contact Information

Primary practice address
555 Nw Lake Whitney Pl Ste 105 Port Saint Lucie FL 34986-1623
Phone: (772) 448-4865
Fax: (772) 448-4864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 066913 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X LL28968 South Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME111532 Florida

Profile Details

NPI number 1639269798
LBN Legal business name Vickers, William Rob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jan 25th, 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 1639269798 NPPES
Florida MEDICAID 006123300

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