Individual
DR. WILLIAM ROB VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 NW LAKE WHITNEY PL STE 105, PORT SAINT LUCIE, FL 34986-1623
(772) 448-4865
(772) 448-4864
Mailing address
555 NW LAKE WHITNEY PL STE 105, PORT SAINT LUCIE, FL 34986-1623
(772) 448-4865
(772) 448-4864
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
066913
GA
207W00000X
Ophthalmology Physician
Primary
ME111532
FL
208600000X
Surgery Physician
LL28968
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006123300
—
FL
Enumeration date
10/12/2006
Last updated
01/25/2019
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