Vines, Frederick Sherwin

Vines, Frederick Sherwin is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Radiology Dept, Jacksonville FL 32209-6511. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Vines, Frederick Sherwin can be contacted via phone (904) 244-4782.

Contact Information

Primary practice address
655 W 8Th St Ufjp Radiology Dept Jacksonville FL 32209-6511
Phone: (904) 244-4782
Fax: (904) 244-3382
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME43844 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME43844 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME43844 Florida

Profile Details

NPI number 1942274774
LBN Legal business name Vines, Frederick Sherwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jan 14th, 2010 - about 14 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 1942274774 NPPES
Florida MEDICAID 0690481-00
Florida MEDICAID 000291761A
Florida Other 300024357

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