Organization Active NPI

Vincent P. Lucido, D.C. P.a

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1861562605
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 1443 Issued in FL
Legal business name
VINCENT P. LUCIDO, D.C. P.A
Practice address
1965 E Edgewood Dr
Lakeland, FL 33803-3415
Phone
(863) 683-8006
Fax
(863) 683-8225
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vincent Paul Lucido, D.C.
Title
President
Phone
(863) 683-8006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 1443 FL Primary

Addresses

Primary practice location

1965 E Edgewood Dr
Lakeland, FL 33803-3415

Mailing address

1965 E Edgewood Dr
Lakeland, FL 33803-3415
Phone (863) 683-8006

National Provider Directory

National Provider Directory

Locations

1965 E Edgewood Dr
Lakeland, FL 33803
Phone (863) 683-8006

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861562605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 E EDGEWOOD DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033415",
            "telephone_number": "863-683-8006",
            "fax_number": "863-683-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 E EDGEWOOD DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033415",
            "telephone_number": "863-683-8006",
            "fax_number": "863-683-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT P. LUCIDO, D.C. P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCIDO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-683-8006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 1443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.