Provider Demographics
NPI:1346324050
Name:GIOVINCO, VINCENT T (DC)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:T
Last Name:GIOVINCO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:762 S FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-5767
Mailing Address - Country:US
Mailing Address - Phone:954-379-0300
Mailing Address - Fax:954-379-0301
Practice Address - Street 1:762 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-5767
Practice Address - Country:US
Practice Address - Phone:954-379-0300
Practice Address - Fax:954-379-0301
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8390111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAB192YMedicare PIN
FLU78765Medicare UPIN
FLAB192ZMedicare PIN