Individual
DR. PAUL ANTHONY VESCO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1540 S TAMIAMI TRL, SUITE 303, SARASOTA, FL 34239-2930
(941) 917-8791
(941) 917-8793
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35082482V
OH
208600000X
Surgery Physician
MD070770-L
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35082482V
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD070770-L
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME108379
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002825400
—
FL
01
—
14A2S
BCBS OF FL
FL
Enumeration date
09/29/2005
Last updated
09/10/2018
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