Individual
DARYL LAWRENCE VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
84 PINNACLES DR, #300, PALM COAST, FL 32164-2324
(386) 447-7824
Mailing address
19 RAE DR, PALM COAST, FL 32164-6880
(386) 237-8588
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22353
FL
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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