Individual
DR. AGUSTIN VEGA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4691 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1550
(407) 498-4015
Mailing address
4691 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1550
(407) 498-4015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 127343
FL
208D00000X
General Practice Physician
18052
PR
Other
Enumeration date
01/05/2011
Last updated
12/05/2022
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