Individual
JOSEPH P VICKARYOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
531 BALD EAGLE DR, MARCO ISLAND, FL 34145-2700
(239) 393-2000
(239) 393-0355
Mailing address
531 BALD EAGLE DR, MARCO ISLAND, FL 34145-2700
(239) 393-2000
(239) 393-0355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS9338
FL
208D00000X
General Practice Physician
Primary
OS9338
FL
Other
Enumeration date
10/02/2006
Last updated
08/27/2013
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