Organization Active NPI

Vicente C Florida MD PA

  • Internal Medicine Physician
  • Titusville, FL
National Provider Identifier
1154519791
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0071351 Issued in FL
Legal business name
VICENTE C FLORIDA MD PA
Practice address
1309 Garden St
Titusville, FL 32796-2548
Phone
(321) 267-4700
Fax
(321) 747-0347
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Dr. Vicente C Florida III, MDNPI 1467545236
Title
President/Owner
Phone
(321) 267-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0071351 FL Primary

Addresses

Primary practice location

1309 Garden St
Titusville, FL 32796-2548

Mailing address

PO Box 339
Titusville, FL 32781-0339
Phone (321) 267-4700

National Provider Directory

National Provider Directory

Locations

725 S Apollo Blvd
Melbourne, FL 32901
Phone (321) 267-4700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1154519791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327810339",
            "telephone_number": "321-267-4700",
            "fax_number": "321-747-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962548",
            "telephone_number": "321-267-4700",
            "fax_number": "321-747-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICENTE C FLORIDA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "FLORIDA",
        "authorized_official_first_name": "VICENTE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "321-267-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0071351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.