Edward Dee Vickers in Clewiston - Radiology

Edward Dee Vickers - NPI 1568486777

Edward Dee Vickers is a Radiology in Clewiston, Florida. Edward Dee Vickers practices all healthcare services and medical treatments related to Radiology. The NPI Number for Edward Dee Vickers is 1568486777. The last update date is 2010-08-03.

Edward Dee Vickers's current location address is 905 W Ventura Ave, Clewiston, Florida. You can contact this provider via phone number 8639838391 and fax number 8639832283. The mailing address for Edward Dee Vickers is 905 W Ventura Ave, Clewiston, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward Dee Vickers
Address 905 W Ventura Ave, Clewiston, Florida
Phone Number 8639838391
Fax Number 8639832283
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1568486777
Provider Enumeration Date 2006-07-27
Last Updated Date 2010-08-03

Provider Mailing Address Detail

Address 905 W Ventura Ave
City Clewiston
State Florida (FL)
Post Code 334403411
Phone Number 8639838391
Fax Number 8639832283

Provider's Primary Taxonomy Detail

Speciality Radiology
Taxonomy 111Nr0200X
Licence No CH0001488
Definition:
Chiropractic radiology is a referral specialty that provides consultation services at the request of other qualified doctors. Chiropractic radiologists provide consultation in health care facilities (private offices, hospitals and teaching institutio

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89525 FL BLUE CROSS/ BLUE SHIELD
380116100 FL --

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FAQs about Edward Dee Vickers

What is the unique 10-digit identification code issued to Edward Dee Vickers by the Centers for Medicare & Medicaid Services?

The Edward Dee Vickers has been assigned the NPI (National Provider Identifier) 1568486777 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Edward Dee Vickers is geographically located?

The Edward Dee Vickers is physically situated at the following location: 905 W Ventura Ave, Clewiston, FL, 334403411.

What is Edward Dee Vickers's area of expertise and its corresponding taxonomy classification?

The Edward Dee Vickers's field of specialization is Radiology, and it falls under the taxonomy code 111Nr0200X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1568486777 to Edward Dee Vickers?

The Centers for Medicare & Medicaid Services originally issued the 1568486777 to Edward Dee Vickers on 2006-07-27.

When was the information regarding Edward Dee Vickers most recently updated?

The details pertaining to the Edward Dee Vickers, including its address, specialty, and other relevant information, were last refreshed on 2010-08-03.

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