Provider Demographics
NPI:1568876191
Name:VINCENT, JOSEPH JUDE EVENS (FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JUDE EVENS
Last Name:VINCENT
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:305-500-2000
Mailing Address - Fax:
Practice Address - Street 1:890 NE 205TH ST
Practice Address - Street 2:MIAMI
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-1917
Practice Address - Country:US
Practice Address - Phone:305-788-4287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-11
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF338725-1363LF0000X
FL9340100363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily