Doctor Name: | DR. VICKIE PINDER CLENNON |
NPI Number: | 1578771952 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | ME94827 |
Business Practice Address: | 2555 Judge Fran Jamieson Way Viera, FL - 329405998 |
Business Phone Number: | 3216395800 |
Business Fax Number: | |
Mailing Address: | 2575 N Courtenay Pkwy, MERRITT ISLAND |
State: | FL |
Postal Code: | 329534126 |
Phone Number: | 3214547148 |
Fax Number: | 3214495015 |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 12/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | ME94827 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |