Provider Demographics
NPI:1376300327
Name:BEDAMI, VINCENT ANGELO JR (DC)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:ANGELO
Last Name:BEDAMI
Suffix:JR
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 1:6955 80TH AVE N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-2018
Mailing Address - Country:US
Mailing Address - Phone:727-410-8680
Mailing Address - Fax:
Practice Address - Street 1:1075 MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5226
Practice Address - Country:US
Practice Address - Phone:727-733-9368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14927111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor