Individual
IVONNE JEANNETTE VEGA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
4577 WESTON RD, WESTON, FL 33331-3141
(954) 217-5070
(954) 217-5080
Mailing address
5717 NW 64TH WAY, TAMARAC, FL 33321-5734
(954) 726-9670
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO4055
FL
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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