Individual
ANDRES TOMAS VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 862-1111
Mailing address
1609 W NETTLETON AVE APT B, JONESBORO, AR 72401-3783
(512) 636-4150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS22242
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/07/2022
Last updated
05/21/2025
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