Jonathan Vicencio
Jonathan Vicencio is a Certified Registered Nurse Anesthetist (CRNA) in Palm Coast, Florida. Qualified in 2019, 7 years ago. Practices with Anesthesia Physician Solutions of North Florida LLC, a 286-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 7
- Licensed in
- FL
- In the registry since
- 2020
Practice location Address checks out
88 Emerald Lake DrPalm Coast, FL 32137-1311
Phone: (631) 455-3034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence APRN11005783 (FL) |
|---|
Record details
| NPI number | 1790315307 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 22, 2020 |
| Last updated in NPPES | January 22, 2020 |
| Certification date | January 22, 2020 |
| Mailing address | 88 Emerald Lake Dr, Palm Coast, FL 32137-1311 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Anesthesia Physician Solutions Of North Florida Llc — 286 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Palm Coast
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David F. Alaniz, CRNA
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Michael S Awai, CRNA
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Thomas Lee Bode, CRNA
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William Chandler, CRNA
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Kenneth Matthew Zino, CRNA
1 Elder Pl, Palm Coast, FL 32164-6252 · (478) 972-4644