MEDICARE: VINCON PA

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	2085R0202X	Diagnostic Radiology Physician	ME73272	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	:	1164415220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VINCON PA

Provider Business Mailing Address
First Line	:	5732 CANTON CV
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-5079
Country	:	US
Telephone Number	:	407-699-7787
Fax Number	:	407-699-7963

Provider Business Practice Location Address
First Line	:	5732 CANTON CV
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-5079
Country	:	US
Telephone Number	:	407-699-7787
Fax Number	:	407-699-7963

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. VINCENZO GIULIANO
Credential	:	MD
Telephone Number	:	407-699-7787

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	10/26/2010

Similar Medicare Providers

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Practice Location Address:

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32708-5079

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1467491084 — DR. RANDY L GITTESS DDS
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1780816256 — DR. ROSS REITER D.M.D.
Practice Location Address:

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32708-5079

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1265918437 — RHETT SUTHERLAND I DC
Practice Location Address:

5750 CANTON CV
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1609423789 — VINCENZO GIULIANO, MD, LLC
Practice Location Address:

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1184356917 — DR. DANIEL KORTYKA DMD
Practice Location Address:

5739 CANTON CV
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Directions to “VINCON PA ” Practice Location

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