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Individual

DR. DANIEL A VINCENT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, FACS

Contact information

Practice address
FLORIDA ENT & ALLERGY, 3006 AZEELE ST, TAMPA, FL 33609-3139
(813) 879-8045
(813) 450-2461
Mailing address
SELECT PHYSICIANS ALLIANCE, 10002 PRINCESS PALM AVE. STE 332, TAMPA, FL 33619-8327
(813) 571-7184
(813) 654-4695

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
ME 75546
FL
207Y00000X
Otolaryngology Physician
Primary
ME75546
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
255104700
FL
05
295104700
FL
Enumeration date
08/11/2005
Last updated
06/07/2019
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