Buckman, Vincent Todd
Buckman, Vincent Todd is an individual health care provider with primary practice located at 21297 Olean Blvd Ste A , Port Charlotte FL 33952-6704. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Buckman, Vincent Todd can be contacted via phone (855) 979-5700.Contact Information
Primary practice address
21297 Olean Blvd Ste A
Port Charlotte FL 33952-6704
Phone: (855) 979-5700
Fax: (855) 979-5701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME91222 | Florida |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | ME91222 | Florida |
Profile Details
| NPI number | 1346248762 |
|---|---|
| LBN Legal business name | Buckman, Vincent Todd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2005 |
| Last updated | Nov 22nd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346248762 | NPPES |
| Florida | Other | 52178 | BCBS |
| Florida | Other | P00284459 | BCBS |
| Florida | MEDICAID | 271275000 | BCBS |
| Florida | Other | P01160582 | BCBS |
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