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Organization
VINNY M VARGHESE MD PA
Active
Organization
VINNY M VARGHESE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA MANJALY (MANAGER)
(386) 228-1234
Entity
Organization
Contact information
Practice address
2720 REBECCA LN STE 2, ORANGE CITY, FL 32763-8351
(386) 228-1234
Mailing address
2720 REBECCA LN STE 2, ORANGE CITY, FL 32763-8351
(386) 228-1234
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 85292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17184Y
MEDICARE INDIVIDUAL PTAN
FL
01
—
AH745
MEDICARE GROUP PTAN
FL
Enumeration date
12/02/2007
Last updated
04/15/2008
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