Individual
JOHN VICENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H.A.S.
Contact information
Practice address
2100 W NEW HAVEN AVE, MELBOURNE, FL 32904-3864
(321) 674-1605
Mailing address
2100 W NEW HAVEN AVE, MELBOURNE, FL 32904-3864
(321) 674-1605
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS4957
FL
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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