Vincent G Carifi, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME30206 Issued in FL

Practice address

Carifi Breast Care, P.a.
171 Webb Drive - Suite #1
Davenport, FL 33837

Phone

(863) 421-7276

Fax

(863) 421-7109

NPI assigned

Jun 21, 2005

Last updated

Oct 27, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nautilus Health Care Group LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Melbourne, FL
  • NPI 1912013558

  Surgery

  Medicare reassignment NPD
• Carifi Breast Care PA

  • Surgery Physician
  • Davenport, FL
  • NPI 1538227442
  Authorized official Same address or phone
• Nautilus Health Care Group, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Kokomo, IN
  • NPI 1013234699
  NPD
• Advanced Wound Systems LLC

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
  • NPI 1508054271
  NPD (past)
• American Institute of Dermatology PA

  • Dermatology Physician
  • Sebring, FL
  • NPI 1861487795
  NPD (past)
• Bond Urgent Care LLC

  • Urgent Care Clinic/Center
  • Winter Haven, FL
  • NPI 1235641739
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1669478087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARIFI BREAST CARE, P.A.",
            "address_2": "171 WEBB DRIVE - SUITE #1",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "33837",
            "telephone_number": "863-421-7276",
            "fax_number": "863-421-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARIFI BREAST CARE, P.A.",
            "address_2": "171 WEBB DRIVE - SUITE #1",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "33837",
            "telephone_number": "863-421-7276",
            "fax_number": "863-421-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARIFI",
        "first_name": "VINCENT",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME30206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669478087",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "53512",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0586072-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lourdes Patricia Campo Sr.
• Monique M Cannon
• Carcamo Care Pediatrics, Inc
• Antonio De Jesus Carcamo, MD
• Carifi Breast Care PA
• Luis Andres Carmona Gomez, RBT-24-392249
• Lissette Carmona-Roman, PSYD
• Rebecca Cristina Carral
• Carrousel Therapy Center Corporation
• Lisa Hannigan Carter, MSW

• Surgery Physician in Davenport, FL
• Providers in Davenport, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.