NPI 1003976648

Clyde Whitley Vick, MD

Practitioner Diagnostic Radiology Physician Jacksonville, FL

Practice location

Address: 1833 Boulevard, Jacksonville, FL 32206-4382
Phone: (904) 232-2751
Fax: (904) 232-2482

Registered specialties (7)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 028094 (GA)

Other Radiology providers in Florida →

Body Imaging Physician

Allopathic & Osteopathic Physicians Taxonomy 2085B0100X Licence 028094 (GA)

Neuroradiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085N0700X Licence 028094 (GA)

Nuclear Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085N0904X Licence 028094 (GA)

Pediatric Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085P0229X Licence 028094 (GA)

Vascular & Interventional Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence 028094 (GA)

Diagnostic Ultrasound Physician

Allopathic & Osteopathic Physicians Taxonomy 2085U0001X Licence 028094 (GA)

Registry record

NPI: 1003976648
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Dec 2006
Record last updated: 13 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.