Individual
VINCENT J. CARACCIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216
(904) 423-0010
(904) 423-0012
Mailing address
3901 UNIVERSITY BLVD S STE 221, JACKSONVILLE, FL 32216-4392
(904) 423-0010
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME 90994
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01522
BCBS
FL
05
—
272406500
—
FL
Enumeration date
02/20/2007
Last updated
08/23/2018
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