Individual
RICHARD J VAGOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 NORTH CLYDE MORRIS BLVD, STE 420, DAYTONA BEACH, FL 32114-1493
(386) 274-1005
(386) 274-5779
Mailing address
311 N CLYDE MORRIS BLVD STE 420, DAYTONA BEACH, FL 32114-2757
(386) 274-1005
(386) 274-5779
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME55416
FL
207VG0400X
Gynecology Physician
ME55416
FL
207VX0000X
Obstetrics Physician
ME55416
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064259200
—
FL
Enumeration date
06/23/2005
Last updated
06/29/2011
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