DR. CLYDE WHITLEY VICK III MD - NPI 1003976648 - Radiology in Jacksonville, FL

Q: What is Clyde Vick's NPI number?

The NPI number for Clyde Vick is 1003976648. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Clyde Vick's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Clyde Vick was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Dr. Clyde Whitley Vick Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLYDE WHITLEY VICK III MD (NPI 1003976648) is an individual diagnostic radiology provider in Jacksonville, Florida, licensed in Georgia (028094) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1003976648

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. CLYDE WHITLEY VICK IIICredential: MD

Location Address1833 BOULEVARDJacksonville, FL 32206-4382

Mailing Address1833 BoulevardJacksonville, FL 32206-4382 · (904) 232-2751 · Fax (904) 232-2482

Phone(904) 232-2751

Fax(904) 232-2482

Sole ProprietorYes

Enumeration DateDecember 12, 2006

Last NPPES UpdateMarch 13, 2012

✔ NPI 1003976648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in GA · 028094

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 028094 (GA)

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 028094 (GA)

Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License 028094 (GA)

Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License 028094 (GA)

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 028094 (GA)

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License 028094 (GA)

1833 BOULEVARD, Jacksonville, FL 32206

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY ALLYSON DILL MCDONALD PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)