Individual
JORGE O VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11836 SW 26TH ST, MIRAMAR, FL 33025-0779
(954) 329-7419
Mailing address
11836 SW 26TH ST, MIRAMAR, FL 33025-0779
(954) 329-7419
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN9424365
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
FL
Enumeration date
04/15/2020
Last updated
04/15/2020
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