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Individual

DANIEL PEDRO VERGARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4800 NE 20TH TER STE 303, FORT LAUDERDALE, FL 33308-4510
(954) 771-8177
(954) 771-3629
Mailing address
PO BOX 162743, ALTAMONTE SPRINGS, FL 32716-2743
(954) 580-4080
(954) 530-5096

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01161993
DOB
Enumeration date
07/09/2019
Last updated
05/11/2026
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