Provider Demographics
NPI:1861602914
Name:D'AMORE, VINCENT P (RPH)
Entity type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:P
Last Name:D'AMORE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1173 CITRUS OAKS RUN
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-4800
Mailing Address - Country:US
Mailing Address - Phone:407-375-0820
Mailing Address - Fax:
Practice Address - Street 1:8000 LAKE UNDERHILL RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-8231
Practice Address - Country:US
Practice Address - Phone:407-658-1045
Practice Address - Fax:407-382-1627
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0023060183500000X
NY037746183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist