Individual
GABRIEL VARGAS SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159-6827
(352) 259-2159
Mailing address
1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159-6827
(352) 259-2159
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
208D00000X
FL
363A00000X
Physician Assistant
290-PA
PR
Other
Enumeration date
05/26/2020
Last updated
11/04/2024
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