Individual
MISS GEORLIZA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7975 NW 154TH ST, MIAMI LAKES, FL 33016-5863
(305) 556-5671
Mailing address
7975 NW 154TH ST, MIAMI LAKES, FL 33016-5863
(305) 556-5671
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAT9107452
FL
Other
Enumeration date
12/16/2013
Last updated
03/31/2015
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