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VINCENT M IVERS
NPI 1619085354
Internal Medicine in Port St Joe, FL

Active since August 25, 2006CLIA 10D1021162 · Waiver
301 20TH ST, PORT ST JOE, FL 32456(850) 227-7070(850) 227-1989 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vincent M Ivers NPPES

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

VINCENT M IVERS (NPI 1619085354) is a healthcare organization registered as an internal medicine in Port St Joe, Florida and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Vincent M Ivers, President, as its authorized official.

NPPES Registry Identity

NPI1619085354
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVINCENT M IVERS
Location Address301 20TH STPort St Joe, FL 32456-3301
Mailing Address8401 Tradewinds DrPort St Joe, FL 32456-6157 · (850) 478-1312 · Fax (850) 474-9060
Phone(850) 227-7070
Fax(850) 227-1989
Organization SubpartNo
Authorized OfficialVincent M IversPresident · (850) 227-7070
Enumeration DateAugust 25, 2006
Last NPPES UpdateJune 17, 2019
✔ NPI 1619085354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME65165
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
301 20TH ST, Port St Joe, FL 32456
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Other Identifiers 2

Medicaid376567900FL
Other26155FL · Bcbs Of Florida

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1021162

Vincent Ivers MD · Port Saint Joe, FL
Active · expires Jan 13, 2028
CLIA Number10D1021162
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorVincent Ivers MD
Laboratory Phone(850) 227-7070
Laboratory LocationVincent Ivers MD301 20th St, Port Saint Joe, FL 32456
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. VINCENT M IVERS
General Practice
301 20TH ST
PORT ST JOE, FL 32456
Gulf County (850) 227-7070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vincent M Ivers's NPI number?

The NPI number for Vincent M Ivers is 1619085354. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is Vincent M Ivers located?

Vincent M Ivers is located at 301 20th St, Port St Joe, FL 32456. The listed phone number is (850) 227-7070.

What is Vincent M Ivers's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Vincent M Ivers hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1021162) is associated with this NPI, valid through January 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vincent M Ivers was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.