DR. EDWARD DEE VICKERS JR. (NPI# 1356310445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356310445 |
| Entity Type | Individual |
| Full Name | DR. EDWARD DEE VICKERS JR. |
| Practice Address |
1116 Billy Martin Rd Avon Park FL 33825-4858 |
| Mailing Address |
Po Box 150 Avon Park FL 33826-0150 |
| Practice Telephone | 8634530684 |
| Practice Fax Number | 8634532873 |
| Mailing Telephone | 8634530684 |
| Mailing Fax Number | 8634532873 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2010-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH 5189 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 380135700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568486777 | Edward Dee Vickers Sr. | Chiropractor | 905 W Ventura Ave, Clewiston, FL 33440-3411 | 2006-07-27 |
| Street Address |
1116 BILLY MARTIN RD |
| City | AVON PARK |
| State | FL |
| Zip Code | 33825-4858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821304635 | Tammy J Grant | Massage Therapist | 1116 Billy Martin Rd, Avon Park, FL 33825-4858 | 2010-08-31 |
| 1467489245 | Vickers Chiropractic Health Centers Pa | Massage Therapist | 1116 Billy Martin Rd, Avon Park, FL 33825-4858 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528537610 | Cristina Marie Rivera | Physical Therapy Assistant | 1010 Us-27, Avon Park, FL 33825 | 2018-11-19 |
| 1417404021 | Tamara Jean Pierre IIi | Home Health | 742 S Fair View Terr, Avon Park, FL 33825 | 2016-09-01 |
| 1700017118 | Highlands Advanced Rheumatology and Arthritis Center Pl | Internal Medicine | 596 Us 27 N, Avon Park, FL 33825 | 2009-08-03 |
| 1942347083 | National Mentor Healthcare, LLC | Intermediate Care Facility, Mentally Retarded | 55 E. College Dr., Avon Park, FL 33825 | 2007-01-30 |
| 1508803925 | Tina Mclean | Physician Assistant | 1006 West Pleasant Street, Avon Park, FL 33825 | 2006-06-02 |
| 1265901292 | Stephanie Marie De Silva | Speech-Language Pathologist | 1010 Us-27, Avon Park, FL 33825 | 2018-11-20 |
| 1831684430 | Elizabeth Rauch | Nurse Practitioner | 950 County Road 17a W, Avon Park, FL 33825 | 2018-06-26 |
| 1093200693 | Sasha Arbona | Nurse Practitioner | 1659 Us Highway 27 N Unit 102, Avon Park, FL 33825 | 2018-06-26 |
| 1336649144 | Teresa Pierre Mcdowall | Nurse Practitioner | 950 County Road 17a W, Avon Park, FL 33825 | 2018-02-19 |
| 1851700553 | Marisol Caraballo | Internal Medicine | 596 Us Highway 27 N, Avon Park, FL 33825 | 2014-08-06 |
| Find all providers in zip 33825 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508966532 | Scc Group Inc | Chiropractor | 1308 Talbott Cir, Avon Park, FL 33825-9721 | 2006-09-22 |
| 1417957069 | William Patrick Danzey | Chiropractor | 1590 Us 27 N, Avon Park, FL 33825-2151 | 2005-07-26 |
| 1841562071 | David A. Boersma | Chiropractor | 1590 Us 27 N, Avon Park, FL 33825-2151 | 2012-02-03 |
| 1013292309 | David Joseph Marinock Jr. | Chiropractor | 1590 Us 27 N, Avon Park, FL 33825-2151 | 2011-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659366 | Mcclure Family and Sports | Chiropractor | 5420 Land O Lakes Blvd Ste 105, Land O Lakes, FL 34639-3401 | 2020-11-06 |
| 1922609379 | Parker Elizabeth Lee | Chiropractor | 196 37th Ave N, Saint Petersburg, FL 33704-1414 | 2020-11-03 |
| 1356942940 | Michelle George | Chiropractor | 840 N Cocoa Blvd Ste A, Cocoa, FL 32922-7590 | 2020-11-02 |
| 1124629647 | Travis Edward Kerner | Chiropractor | 18505 Nw 75th Pl Ste 117, Hialeah, FL 33015-2961 | 2020-11-02 |
| 1720688641 | Desiree Bethel | Chiropractor | 551 Ne 174th St, North Miami Beach, FL 33162-1945 | 2020-10-29 |
| 1255931010 | Spinewell Inc | Chiropractor | 650 Central Ave Ste 3, Sarasota, FL 34236-4090 | 2020-10-29 |
| 1982203543 | William Jesse Naftel | Chiropractor | 981 Highway 98 E Ste 9, Destin, FL 32541-2588 | 2020-10-23 |
| 1679172548 | Jacksonville Chiropractic Rehab and Wellness Center | Chiropractor | 7908 Blanding Boulevard, Suite #4, Jacksonville, FL 32244-7564 | 2020-10-22 |
| 1588263560 | Chiropractic Spine and Injury Pa | Chiropractor | 158 Tuskawilla Rd Ste 1308, Winter Springs, FL 32708-2805 | 2020-10-21 |
| 1588263867 | Orchid Island Chiropractic, LLC | Chiropractor | 9613 N Us Highway 1, Sebastian, FL 32958-6363 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.