Individual
D R VENCIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1700 SAN PABLO RD S, #301, JACKSONVILLE, FL 32224-2063
(904) 233-6526
Mailing address
1700 SAN PABLO RD S, #301, JACKSONVILLE, FL 32224-2063
(904) 233-6526
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 31662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA31662
LICENSE NUMBER
FL
Enumeration date
08/03/2006
Last updated
07/08/2007
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