Individual
MARISSA VIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 NW 87TH AVE UNIT 628, DORAL, FL 33178-2795
(772) 971-5860
Mailing address
4401 NW 87TH AVE UNIT 628, DORAL, FL 33178-2795
(772) 971-5860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9392675
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11039872
FL
Other
Enumeration date
03/02/2023
Last updated
06/09/2025
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