Provider Demographics
NPI:1841470424
Name:VECCHIONI, ROBERT JOHN (AP)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:JOHN
Last Name:VECCHIONI
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3148 SOUTHGATE CIR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-5515
Mailing Address - Country:US
Mailing Address - Phone:941-284-5397
Mailing Address - Fax:941-827-9077
Practice Address - Street 1:3148 SOUTHGATE CIR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-5515
Practice Address - Country:US
Practice Address - Phone:941-284-5397
Practice Address - Fax:941-827-9077
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1419171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist