Organization
VARGAS MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR M VARGAS MD (OWNER)
(321) 727-0984
Entity
Organization
Contact information
Practice address
606 SHERIDAN RD, MELBOURNE, FL 32901-3227
(321) 727-0984
(321) 727-3606
Mailing address
4190 RICHWOOD CT, MERRITT ISLAND, FL 32952-6237
(321) 727-0984
(321) 727-3606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101937700
—
FL
01
—
DY8418
RRMEDICARE PTAN
FL
01
—
KQ811
MEDICARE PTAN
FL
01
—
RO9Q1
BCBS
FL
Enumeration date
10/16/2018
Last updated
08/05/2019
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