VANESSA DE OLIVEIRA INACIO M.D. NPI 1790071066

NPI Information

NPI: 1790071066
Provider Name: VANESSA DE OLIVEIRA INACIO, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: CONVIVA MEDICAL CENTER MANAGEMENT, LLC

PECOS Registration: Yes

Address:
1301 LYONS RD
COCONUT CREEK, FL
ZIP 33063
Phone: (954) 971-2266
Get Directions

Vanessa De Oliveira Inacio, M.D. is a family medicine in Coconut Creek, FL with 13 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Vanessa De Oliveira Inacio, M.D. NPI is 1790071066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1301 LYONS RD
COCONUT CREEK, FL
ZIP 33063-900
Phone: (954) 971-2266

The NPI 1790071066 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/24/2011 and was last updated on 12/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		MT200416	PENNSYLVANIA	No
2	207Q00000X	Family Medicine		ME120396	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	012494700	MEDICAID	FLORIDA
2	14VJ8	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »