Individual
JOSE CARLOS VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5200 NE 2ND AVE, MIAMI, FL 33137-2706
(057) 518-6263
(352) 382-7781
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-7214
(352) 382-7781
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27195
FL
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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