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Organization
VIGOA AUTISM, BEHAVIORAL & HEALTHCARE SERVICES, LLC
Active
Organization
VIGOA AUTISM, BEHAVIORAL & HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONY GONZALEZ VIGOA ARNP (MANAGING MEMBER)
(786) 450-8270
Entity
Organization
Contact information
Practice address
17313 NW 63RD AVE, HIALEAH, FL 33015-4470
(786) 450-8270
Mailing address
17313 NW 63RD AVE, HIALEAH, FL 33015-4470
(786) 450-8270
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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