Individual
TONY VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMD, CER. AT
Contact information
Practice address
1000 WATERMAN WAY, TAVARES, FL 32778-5266
(352) 253-3857
Mailing address
13326 SEA BREEZE LN, GRAND ISLAND, FL 32735-9203
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
PMD18799
FL
Other
Enumeration date
11/03/2018
Last updated
11/03/2018
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