Individual
CELESTINO VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 MAIN ST, AUBURNDALE, FL 33823-3404
(863) 284-5000
(863) 413-5855
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE DEPT., LAKELAND, FL 33805-4543
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME69552
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379631100
—
FL
Enumeration date
01/17/2006
Last updated
07/26/2022
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