Vincent, David E

Vincent, David E is an sole proprietor health care provider with primary practice located at 6467 Greenland Rd , Jacksonville FL 32258. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Vincent, David E can be contacted via phone (904) 574-9411.

Contact Information

Primary practice address
6467 Greenland Rd Jacksonville FL 32258
Phone: (904) 574-9411
Fax: (904) 574-9377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 053627 Georgia

Profile Details

NPI number 1033167135
LBN Legal business name Vincent, David E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Mar 29th, 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 1033167135 NPPES
Florida Other KZ595 MEDICARE
Florida MEDICAID 697595615A MEDICARE

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