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General NPI Number Information
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NPI Number | 1336237569
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Entity Type | Organization
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Legal Business Name | VINCENT VANWINKLE MD PA
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3920 BEE RIDGE RD STE E BLDG E
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City | SARASOTA
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State | FL
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Zip | 34233
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Country | US
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Telephone | 941-923-1861
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Fax | 941-927-8491
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Provider Business Mailing Address
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Address Line | 3920 BEE RIDGE RD STE E BLDG E
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City | SARASOTA
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State | FL
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Zip | 34233
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Country | US
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Telephone | 941-923-1861
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Fax | 941-927-8491
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MR. VINCENT J VANWINKLE
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Credential | MD PA
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Telephone | 941-923-1861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME44850
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License Number State | FL
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