Individual
BETHANY VIGROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1150 N 35TH AVE, SUITE 130, HOLLYWOOD, FL 33021-5424
(954) 265-7700
(954) 893-3799
Mailing address
7420 AVENIDA DEL MAR APT 2604, BOCA RATON, FL 33433-4875
(508) 813-2342
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA7355
MA
363A00000X
Physician Assistant
Primary
PA9107323
FL
Other
Enumeration date
08/04/2011
Last updated
03/19/2024
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