Individual
VIVIANA VARGAS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
12500 S APOPKA VINELAND RD, ORLANDO, FL 32836-6723
(407) 827-8168
Mailing address
616 BIARRTZ CT, ORLANDO, FL 32809-6515
(904) 392-6760
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4665
FL
Other
Enumeration date
07/30/2019
Last updated
02/04/2021
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