Individual provider · Type 1 NPI

Clyde Whitley Vick Iii, MD

Diagnostic Radiology Physician · Jacksonville, FL

NPI number 1003976648 Active

Practice location

1833 Boulevard
Jacksonville, FL 32206-4382

Call (904) 232-2751 Map

Fax (904) 232-2482

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100X028094 (GA)
Neuroradiology Physician 2085N0700X028094 (GA)
Nuclear Radiology Physician 2085N0904X028094 (GA)
Pediatric Radiology Physician 2085P0229X028094 (GA)
Diagnostic Radiology Physician Primary 2085R0202X028094 (GA)
Vascular & Interventional Radiology Physician 2085R0204X028094 (GA)
Diagnostic Ultrasound Physician 2085U0001X028094 (GA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1003976648

Clyde Whitley Vick Iii, MD's National Provider Identifier is 1003976648, issued on Dec 12, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 13, 2012.