Individual
ADELIS JACINTO VARGAS TORREALBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
7941 WEST DR APT 201, NORTH BAY VILLAGE, FL 33141-5589
(980) 245-6114
Mailing address
7941 WEST DR APT 201, NORTH BAY VILLAGE, FL 33141-5589
(980) 245-6114
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-214
FL
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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