Individual
DR. WILLIAM JOSEPH VINYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
291 NW PEACOCK BLVD STE 104, PORT SAINT LUCIE, FL 34986-2214
(772) 212-0304
(772) 212-0301
Mailing address
291 NW PEACOCK BLVD STE 104, PORT SAINT LUCIE, FL 34986-2214
(772) 212-0304
(772) 212-0301
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
94-05814
KS
2086S0122X
Plastic and Reconstructive Surgery Physician
A98342
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME120069
FL
Other
Enumeration date
03/29/2007
Last updated
01/29/2019
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