Individual
PATRICE JOVITA SANTIAGO VIGILIA-ABRENICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25827 SE HIGHWAY 19, OLD TOWN, FL 32680-3997
(352) 542-0068
(352) 542-1843
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 627-9350
(352) 273-9054
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME146521
FL
2080P0210X
Pediatric Nephrology Physician
ME146521
FL
Other
Enumeration date
07/21/2015
Last updated
01/18/2022
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