Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Antonio Sison Vicencio III, MD

Individual provider Family Medicine Physician · NPI 1457474728

Dr. Antonio Sison Vicencio III, MD is a Family Medicine Physician in Palm Coast, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

21 Hospital Dr Ste 230
Palm Coast, FL 32164-2452
Phone: (386) 586-3466
Fax: (386) 586-3467
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME89537 (FL)

Record details

NPI number1457474728
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 9, 2007
Last updated in NPPESJuly 15, 2010

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