Individual
THERESA P VERGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3530 KRAFT RD STE 300, NAPLES, FL 34105-5020
(239) 353-6636
(239) 354-1865
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(392) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106207
FL
Other
Enumeration date
11/21/2011
Last updated
07/18/2025
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