Joseph Vickaryous D.o. P.a.
NPI #1164751400 in Marco Island, Florida
Provider Information
- NPI Number
- 1164751400
- Entity Type
- Organization
- Organization Name
- Joseph Vickaryous D.o. P.a.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 16, 2009
- Last Updated
- Aug 27, 2013
Practice Location
- Address
- 531 BALD EAGLE DR
- City
- Marco Island
- State
- Florida
- ZIP Code
- 34145-2700
- Phone
- (239) 393-2000
Authorized Official
- Name
- DR. JOSEPH VICKARYOUS, D.O.
- Title
- OWNER
- Phone
- (239) 393-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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