Individual
JOSE A LAVERGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14505 COMMERCE WAY STE 800, MIAMI LAKES, FL 33016-1599
(305) 910-0408
(305) 558-1500
Mailing address
9200 S DADELAND BLVD STE 800, MIAMI, FL 33156-2758
(786) 530-3820
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0090103
FL
207RG0100X
Gastroenterology Physician
Primary
ME90103
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271347100
—
FL
Enumeration date
11/22/2005
Last updated
05/13/2026
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