Individual
JOSE ANTONIO VEGA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2275 N CENTRAL AVE, KISSIMMEE, FL 34741-2342
(407) 870-0573
Mailing address
2220 WINDCREST LAKE CIR, ORLANDO, FL 32824-5666
(407) 234-2789
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9198685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305942100
—
FL
01
—
G3599
BLUE CROSS
FL
Enumeration date
05/31/2006
Last updated
05/21/2019
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