Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Clyde Whitley Vick III, MD

Individual provider Body Imaging Physician · NPI 1003976648

Dr. Clyde Whitley Vick III, MD is a Body Imaging Physician in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1833 Blvd
Jacksonville, FL 32206-4382
Phone: (904) 232-2751
Fax: (904) 232-2482
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Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 028094 (GA)
Body Imaging Physician Taxonomy 2085B0100X · Licence 028094 (GA)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 028094 (GA)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence 028094 (GA)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 028094 (GA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 028094 (GA)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence 028094 (GA)

Record details

NPI number1003976648
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 12, 2006
Last updated in NPPESMarch 13, 2012

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