Dr. William Joseph Vinyard
Surgeon Plastic and Reconstructive Surgery
291 Nw Peacock Blvd Ste 104
Port Saint Lucie
, Florida 34986-2214
Dr. William Joseph Vinyard
Surgeon Plastic and Reconstructive Surgery
291 Nw Peacock Blvd Ste 104
Port Saint Lucie
, Florida 34986-2214
(772) 212-0301
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About
Features
Specialties
- Surgeon
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. William Joseph Vinyard
- 291 Nw Peacock Blvd Ste 104
- Port Saint Lucie, FL
- Zip : 34986-2214
- Fax : (772) 212-0301
- Phone : (772) 212-0304
Second Address
- Dr. William Joseph Vinyard
- 291 Nw Peacock Blvd Ste 104
- Port Saint Lucie, FL
- Zip : 34986-2214
- Fax : (772) 212-0301
- Phone : (772) 212-0304
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 94-05814 | KS |
| N | 208600000X | Surgeon | 94-05814 | KS |
| N | 2086S0122X | Plastic and Reconstructive Surgery | A98342 | CA |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | ME120069 | FL |
National Provider Identifier
| NPI | 1295855823 |
|---|---|
| Provider Name | Dr. William Joseph Vinyard |
| First Address | Port Saint Lucie, FL 34986-2214 |
| Second Address | Port Saint Lucie, FL 34986-2214 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2007 |
| Last Update Date | 29/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| RES000 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.