Individual
DR. RENATO VESGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9780 N 56TH ST, SUITE C, TEMPLE TERRACE, FL 33617-5508
(813) 549-7465
Mailing address
9780 N 56TH ST, SUITE C, TEMPLE TERRACE, FL 33617-5508
(813) 549-7465
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME111420
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME111420
FL LICENSE
FL
Enumeration date
01/29/2007
Last updated
03/07/2023
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