Robert Devincentis, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH0007521 Issued in FL

Practice address

14255 Beach Blvd
Jacksonville, FL 32250-1545

Phone

(904) 223-1616

Fax

(904) 223-1702

NPI assigned

Sep 12, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1053306563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14255 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501545",
            "telephone_number": "904-223-1616",
            "fax_number": "904-223-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14255 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501545",
            "telephone_number": "904-223-1616",
            "fax_number": "904-223-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINCENTIS",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH0007521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381167100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Developmental Learning Center, Inc
• Angelo Devera, MSN, PMHNP-BC
• Amanda Shreders Devereaux, MD
• Ashlee Devereux
• Francesca Rose Deville, DDS
• Ali Catherine Devine, PA-C
• Alicia Ellen Devine
• Mark Devitt, PT
• Efhril Elomina Devlin, PA-C
• Laura Ann Devlin, CRNA

• Sports Physician Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.