Individual
SERGIO JUAN VIGNALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 400, DAYTONA BEACH, FL 32117-5169
(386) 231-3580
(386) 672-3311
Mailing address
PO BOX 935921, ATLANTA, GA 31193-5921
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35.087342
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
ME97991
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000256300
—
FL
05
—
0076178
—
OH
Enumeration date
03/01/2007
Last updated
12/23/2024
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