Individual
BERNEY VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME155598
FL
208D00000X
General Practice Physician
MD.36114
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2016
Last updated
07/13/2022
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