Individual
DR. ENRICO V VINTAYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-4896
(941) 917-6884
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
25MA09271100
NJ
2084N0400X
Neurology Physician
Primary
ME126337
FL
2084N0600X
Clinical Neurophysiology Physician
D0073954
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016725100
—
FL
01
—
PH139
MC
FL
Enumeration date
06/30/2011
Last updated
08/26/2022
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