Organization
VIGIA MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YURI SALAS ESPINOSA MD (AUTHORIZED OFFICIAL)
(786) 493-2293
Entity
Organization
Contact information
Practice address
10887 NW 17TH ST UNIT 108A, MIAMI, FL 33172-2044
(786) 493-2293
Mailing address
10887 NW 17TH ST UNIT 108A, MIAMI, FL 33172-2044
(786) 493-2293
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME113527
LICENSE
FL
Enumeration date
08/25/2021
Last updated
08/25/2021
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