Individual
EDGARDO ANIBAL VEGA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1037 S STATE ROAD 7, SUITE 211, WELLINGTON, FL 33414-6138
(561) 798-3030
(561) 798-8242
Mailing address
9730 SAVANNAH ESTATES DR, LAKE WORTH, FL 33467-6989
(561) 352-5245
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102118
FL
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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