MEDICARE: DR. ROBERT DEVINCENTIS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NS0005X	Sports Physician Chiropractor	CH0007521	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053306563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT DEVINCENTIS D.C.

Provider Business Mailing Address
First Line	:	14255 BEACH BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32250-1545
Country	:	US
Telephone Number	:	904-223-1616
Fax Number	:	904-223-1702

Provider Business Practice Location Address
First Line	:	14255 BEACH BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32250-1545
Country	:	US
Telephone Number	:	904-223-1616
Fax Number	:	904-223-1702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	04/23/2008

Similar Medicare Providers

1457538266 — INTERCOASTAL CHIROPRACTIC CLINIC PA
Practice Location Address:

14255 BEACH BLVD STE A
JACKSONVILLE, FL
32250-1545

Practice Phone: 904-223-1616
Practice Fax:

1184003311 — AV PHARMA LLC
Practice Location Address:

1545 UNIVERSITY BLVD N
JACKSONVILLE, FL
32211-5229

Practice Phone: 844-224-8493
Practice Fax: 844-324-8493

1902929565 — MR. VIPUL B MAMTORA
Practice Location Address:

1545 UNIVERSITY BLVD N
JACKSONVILLE, FL
32211-5229

Practice Phone: 844-224-8493
Practice Fax:

1316592538 — AV PHARMA LLC
Practice Location Address:

1545 UNIVERSITY BLVD N STE B
JACKSONVILLE, FL
32211-5229

Practice Phone: 877-811-1129
Practice Fax: 855-811-3423

1629589908 — AV PHARMA LLC
Practice Location Address:

1545 UNIVERSITY BLVD N STE C
JACKSONVILLE, FL
32211-5229

Practice Phone: 904-440-0611
Practice Fax: 904-323-4083

1033870209 — AV PHARMA LLC
Practice Location Address:

1545 UNIVERSITY BLVD N STE A
JACKSONVILLE, FL
32211-5229

Practice Phone: 844-224-8493
Practice Fax: 844-324-8493

Directions to “ DR. ROBERT DEVINCENTIS D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.