D R Vencil is a Massage Therapist in Jacksonville, Florida. D R Vencil practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for D R Vencil is 1487661005. The last update date is 2007-07-08.
D R Vencil's current location address is 1700 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9042336526. The mailing address for D R Vencil is 1700 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | D R Vencil |
|---|---|
| Address | 1700 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9042336526 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1487661005 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1700 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322242063 |
| Phone Number | 9042336526 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA 31662 |
|
Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MA31662 | FL | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to D R Vencil by the Centers for Medicare & Medicaid Services?
The D R Vencil has been issued the NPI (National Provider Identifier) 1487661005 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where D R Vencil's facilities are situated?
The facilities of D R Vencil are physically located at the following address: 1700 San Pablo Rd S, Jacksonville, FL, 322242063.
What is D R Vencil's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The D R Vencil's specialized field of practice is Massage Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225700000X.
On what date was the 1487661005 assigned to D R Vencil?
The D R Vencil was issued its 1487661005 on 2006-08-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the D R Vencil's information last updated?
The D R Vencil's information was last updated on 2007-07-08.