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Dr. Vincent M Ivers
General Practice Physician in Port St Joe, Florida
NPI 1851366702

Vincent M Ivers is a General Practice Physician based in Port St Joe, FL. Vincent M Ivers practices in Port St Joe, FL. The NPI Number for Vincent M Ivers is 1851366702 and holds a License No. ME0065165 (Florida).

The current practice location address for Vincent M Ivers is 301 20Th St, Port St Joe, FL and can be reached out via phone at 850-227-7070 and via fax at 850-227-1989.

Location: 301 20Th St, Port St Joe, FL, 32456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851366702
Provider Name
Vincent M Ivers
Credential
Provider Entity Type
Individual
Gender
Male
Address
301 20Th St, Port St Joe, FL, 32456
Phone Number
850-227-7070
Fax Number
850-227-1989
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
376567900 05 FL
institution
Provider Business Practice Location Address Details
Address
301 20Th St
City
Port St Joe
State
Florida
Zip
32456-3301
Phone Number
850-227-7070
Fax Number
850-227-1989
person
Provider Business Mailing Address Details
Address
301 20Th St
City
Port St Joe
State
Florida
Zip
32456-3301
Phone Number
850-227-7070
Fax Number
850-227-1989
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ME0065165 (Florida)
Definition
Definition to come...
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