Individual
DR. CHARLENE VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1653 JESS PARRISH CT, TITUSVILLE, FL 32796-2145
(321) 267-5965
(321) 267-8487
Mailing address
1653 JESS PARRISH CT, TITUSVILLE, FL 32796-2145
(321) 267-5965
(321) 267-8487
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME100513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000392792
ANTHEM
—
01
—
1205165
UNITED HEALTH CARE
—
01
—
123067
NATIONWIDE
—
05
—
2536509
—
OH
05
—
280554500
—
FL
01
—
7937577
ETNA
—
01
—
8495401
HUMANA
—
Enumeration date
01/03/2006
Last updated
09/19/2011
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