Dr ANTONIO S VICENCIO III MD is a male medical professional, specializing in Family Medicine. He graduated in 1978.
21 HOSPITAL DR
SUITE 230
PALM COAST
FL
321642458
Tel:
| Npi | 1457474728 |
| Pac Id | 4587640925 |
| Professional Enrollment Id | I20040626000417 |
| Last Name | VICENCIO |
| First Name | ANTONIO |
| Middle Name | S |
| Suffix | III |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
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| Line 1 Street Address | 21 HOSPITAL DR |
| Line 2 Street Address | SUITE 230 |
| Marker Of Address Line 2 Suppression | |
| City | PALM COAST |
| State | FL |
| Zip Code | 321642458 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 100118 |
| Hospital Affiliation Lbn 1 | FLORIDA HOSPITAL FLAGLER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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