Vines, Frederick Sherwin
Vines, Frederick Sherwin is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Radiology Dept, Jacksonville FL 32209-6511. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Vines, Frederick Sherwin can be contacted via phone (904) 244-4782.Contact Information
Primary practice address
655 W 8Th St Ufjp Radiology Dept
Jacksonville FL 32209-6511
Phone: (904) 244-4782
Fax: (904) 244-3382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ME43844 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME43844 | Florida |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME43844 | Florida |
Profile Details
| NPI number | 1942274774 |
|---|---|
| LBN Legal business name | Vines, Frederick Sherwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Jan 14th, 2010 - about 16 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 | 1942274774 | NPPES |
| Florida | MEDICAID | 0690481-00 | |
| Florida | MEDICAID | 000291761A | |
| Florida | Other | 300024357 |
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