IndividualActive
Brian Vickaryous, MD
NPI 1902805575 · Sports Medicine (Orthopaedic Surgery) Physician · Lake Mary, FL
Provider details
- NPI number
- 1902805575
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME9748 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
773 Stirling Center Pl
Lake Mary, FL 32746-4856
Phone: (407) 977-4130
Fax: (407) 977-4139
Approximate (ZIP-level) locationGet directions
Mailing address
773 Stirling Center Pl
Lake Mary, FL 32746-4856
Additional practice locations (1)
- 7404 Red Bug Lake RdOviedo, FL 32765-7154Phone: (407) 977-4130Fax: (407) 977-4139
Registry dates
- Enumerated
- 2005-07-18
- Last updated
- 2023-04-26
- Certified
- 2023-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.