Individual
ANTHONY DAVID VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
717 E OAK ST, KISSIMMEE, FL 34744-4580
(407) 846-0533
Mailing address
717 E OAK ST, KISSIMMEE, FL 34744-4580
(407) 846-0533
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH25702
FL
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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