Organization
INFECTIOUS DISEASES & TROPICAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICENTE MACO MD (DOCTOR)
(904) 471-9633
Entity
Organization
Contact information
Practice address
800 ZEAGLER DR, SUITE 210, PALATKA, FL 32177-3883
(904) 471-9633
(904) 471-8808
Mailing address
800 ZEAGLER DR, SUITE 210, PALATKA, FL 32177-3883
(904) 471-9633
(904) 471-8808
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME117467
FL
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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