Vicente S Verzosa MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

17538 Issued in FL

Legal business name

VICENTE S VERZOSA MD PA

Practice address

410 S 11TH St
Lake Wales, FL 33853-4203

Phone

(863) 676-1433

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Vicente S Verzosa, MD

Title

President

Phone

(863) 324-7755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1750550679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 ASHTON CLUB DR",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338595731",
            "telephone_number": "863-324-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S 11TH ST",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534203",
            "telephone_number": "863-676-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICENTE S VERZOSA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "VERZOSA",
        "authorized_official_first_name": "VICENTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-324-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "17538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Vadnos
• Karina Valadez
• Andrea Nicole Vega Rivera
• Nastassia Trishanne Verley, CF SLP
• VH and Wellness, LLC
• Monica Vickers
• Victory Ridge Academy, Inc.
• Heydee Vigo Carrasquillo
• Nataliya Voisard
• Wal-Mart Stores East LP

• Cardiovascular Disease Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.