Individual
DR. GIACOMO VLADIMIR VINCES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 33027-6308
(954) 399-4642
(877) 859-8768
Mailing address
3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 33027-6308
(954) 399-4642
(877) 859-8768
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
232847
NY
208600000X
Surgery Physician
232847
NY
208D00000X
General Practice Physician
232847
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02731226
—
NY
Enumeration date
08/27/2006
Last updated
07/13/2011
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