# DR. RYAN C VERXAGIO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1669432969
- **Gender:** Man
- **Credential:** OD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 3957 | FL | Yes |
| 152WL0500X | Low Vision Rehabilitation Optometrist | OPC 3957 | FL | — |

## Other

- **Enumeration date:** 03/23/2006
- **Last updated:** 02/26/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 621009100 | — | FL |
| 01 | — | U4879V | MEDICARE UPIN (BROWARD) | FL |