Joseph P Vickaryous, D.O.

NPI #1750475240 in Marco Island, Florida

Provider Information

NPI Number: 1750475240
Entity Type: Individual
Name: Joseph P Vickaryous, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: D.O.
Enumeration Date: Oct 2, 2006
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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
General Practice	208D00000X	Primary

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