Individual
DR. JOSE LUIS VARGAS-MASSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
780 BUENAVENTURA BLVD, KISSIMMEE, FL 34743-8128
(407) 274-9590
(407) 593-6102
Mailing address
425 W COLONIAL DR STE 303, ORLANDO, FL 32804-6863
(321) 332-6947
(407) 286-4515
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
21496
PR
208D00000X
General Practice Physician
Primary
ACN1367
FL
390200000X
Student in an Organized Health Care Education/Training Program
14661-I
PR
Other
Enumeration date
04/21/2019
Last updated
05/21/2025
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