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Individual

MR. GERALD B VEGA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4000 CENTRAL FLORIDA BLVD, BUILDING 127, ORLANDO, FL 32816-3333
(407) 823-2097
(407) 823-2546
Mailing address
14822 HARTFORD RUN DR, ORLANDO, FL 32828-7824
(407) 924-4863
(407) 823-2546

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003604
FL

Other

Enumeration date
01/09/2007
Last updated
06/20/2011
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