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General NPI Number Information
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NPI Number | 1275412496
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Entity Type | Organization
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Legal Business Name | VINCENT PICCIONE OD, LLC
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Dates
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Enumeration Date | 09/01/2025
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 3461A E COLONIAL DR STE A
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City | ORLANDO
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State | FL
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Zip | 32803-5113
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Country | US
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Telephone | 407-898-7744
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Fax |
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Provider Business Mailing Address
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Address Line | 16777 OLIVE HILL DR
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City | WINTER GARDEN
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State | FL
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Zip | 34787-9530
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Country | US
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Telephone | 352-222-2328
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Fax |
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Authorized Official
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Title or Position | MGRM
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Name | MR. VINCENT VINCENT PICCIONE
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Credential | OD
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Telephone | 352-222-9195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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