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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TONY VICK, PMD, CER. AT

Active Sole Proprietor

TONY VICK, PMD, CER. AT is a Emergency Medical Technician, Intermediate healthcare provider located in TAVARES, Florida. NPI 1689142002 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Technician, Intermediate · TAVARES, FL

Registration Details

NPI Number
1689142002
Provider Type
Individual
Gender
Male
NPI Issued
Nov 3, 2018 (7.814539056789 yrs)
Last Updated
Nov 3, 2018
License
PMD18799 (FL)
Sole Proprietor
Yes

Practice Information

Address
1000 WATERMAN WAY
TAVARES, FL, 327785266
Browse FL providers · Browse ZIP 32778
Phone
3522533857
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.