Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANTONIO SISON VICENCIO III, M.D.
Active Sole ProprietorDR. ANTONIO SISON VICENCIO III, M.D. is a Family Medicine healthcare provider located in PALM COAST, Florida. NPI 1457474728 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PALM COAST, FL
Registration Details
- NPI Number
- 1457474728
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2007 (19.33800303344 yrs)
- Last Updated
- Jul 15, 2010
- License
-
ME89537 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21 HOSPITAL DRSUITE 230PALM COAST, FL, 321642452Browse FL providers · Browse ZIP 32164
- Phone
- 3865863466
- Fax
- 3865863467
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PALM COAST, FL
| Name | Credential | NPI |
|---|---|---|
| DR. JERRY LEVENTHAL | M.D. | 1558364265 |
| MATTHEW DORMAN | MD | 1740284439 |
| GREGORIO ALFONSO CISNEROS | MD | 1801893854 |
| DR. VIJAY K JAIN | M.D. | 1902885551 |
| FLORENCE ROBERT FRUEHAN | DO | 1659342897 |
| DR. MARTHA ARGUELLO | MD | 1841261070 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.