Organization
G. E. VEGA, M. D., P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERTO ELI VEGA M.D. (PHYSICIAN)
(813) 870-1404
Entity
Organization
Contact information
Practice address
4600 N HABANA AVE, SUITE 33, TAMPA, FL 33614-7112
(813) 870-1404
(813) 870-3479
Mailing address
PO BOX 271058, TAMPA, FL 33688-1058
(813) 870-1404
(813) 870-3479
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 21412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054821900
—
FL
Enumeration date
02/01/2011
Last updated
06/03/2011
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