Individual provider · Type 1 NPI

Antonio Sison Vicencio Iii, MD

Family Medicine Physician · Palm Coast, FL

NPI number 1457474728 Active

Practice location

21 Hospital Dr, Suite 230
Palm Coast, FL 32164-2452

Call (386) 586-3466 Map

Fax (386) 586-3467

Mailing address

PO Box 354339
Palm Coast, FL 32135-4339

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	ME89537 (FL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1457474728

Antonio Sison Vicencio Iii, MD's National Provider Identifier is 1457474728, issued on Apr 9, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Palm Coast, FL. The record was last updated on Jul 15, 2010.