Individual
DR. VICTOR PENAGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HSE 11988
Contact information
Practice address
22198 BELLA LAGO DR APT 1118, BOCA RATON, FL 33433-4839
(561) 777-9952
Mailing address
22198 BELLA LAGO DR APT 1118, BOCA RATON, FL 33433-4839
(561) 419-7295
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
HSE 11988
FL
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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