Organization
JOSE LUIS VARGAS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS VARGAS MD (OWNER)
(305) 720-5753
Entity
Organization
Contact information
Practice address
8740 SW 88TH ST, SUITE 210, MIAMI, FL 33176-2212
(305) 720-5733
Mailing address
2525 SW 75TH AVE, MIAMI, FL 33155-2800
(305) 720-5733
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD0691
RAILROAD MEDICARE
FL
Enumeration date
10/23/2007
Last updated
08/15/2012
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