MEDICARE: VINCENT WU

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	207Q00000X	Family Medicine Physician	OS17558	FL

General Provider Information

NPI Number	:	1962999490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINCENT WU

Provider Business Mailing Address
First Line	:	5350 SPRING HILL DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-4562
Country	:	US
Telephone Number	:	352-277-5348
Fax Number	:	352-606-2857

Provider Business Practice Location Address
First Line	:	7271 SPRING HILL DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-5066
Country	:	US
Telephone Number	:	352-691-5040
Fax Number	:	352-691-5042

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

Provider Enumeration Date	:	04/19/2018
Last Update Date	:	04/13/2026

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Directions to “ VINCENT WU ” Practice Location

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