Individual
DR. LAWRENCE ALAN VICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 BAYSHORE BLVD, SUITE E, TAMPA, FL 33611-4183
(813) 805-0388
(813) 805-0390
Mailing address
5323 BAYSHORE BLVD, SUITE E, TAMPA, FL 33611-4183
(813) 805-0388
(813) 805-0390
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME 84580
FL
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
ME-84580
FL
Other
Enumeration date
02/15/2007
Last updated
10/22/2007
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