NPI Registry.org

Vincent Athas

NPI Registration Record

Provider / OrganizationNPIDate Certified
VINCENT ATHAS16296342092021-06-05

Vincent Athas is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1629634209. Registration indicates Vincent Athas is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider NameDr. Vincent Athas MD
Practice Office Address1600 S ANDREWS AVE
FORT LAUDERDALE, FL US
Practice Office Telephone9544688962
Mailing Address1600 S ANDREWS AVE
FORT LAUDERDALE, FL 333162510 US
Offices / Locations
AddressCity / StatePhone / Fax
3601 4th St Rm 3A122B Lubbock, TX 794300002 8067433720
HPT Codes
CodePractice
License No
State
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
OPI Codes

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