Individual
MAMTA VED VIJAYVARGIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1061 MEDICAL CENTER DR STE 110, ORANGE CITY, FL 32763-8225
(386) 917-7594
(386) 456-3257
Mailing address
770 W GRANADA BLVD STE 101, ORMOND BEACH, FL 32174-5179
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME83720
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264036800
—
FL
Enumeration date
03/14/2006
Last updated
08/08/2025
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