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Individual

BILLY SCOTT VINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4810 NORTH DAVIS HIGHWAY, PENSACOLA, FL 32503
(850) 474-8988
(850) 476-5312
Mailing address
4900 BAYOU BOULEVARD, SUITE 111, PENSACOLA, FL 32503
(850) 477-8109
(850) 478-2412

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN3189022
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G2215
BCBS OF FLORIDA
FL
01
P00252451
RAILROAD MEDICARE
Enumeration date
10/03/2006
Last updated
10/22/2007
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