Individual
HARRY D. MARTY VIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 639-8500
Mailing address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 639-8500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
90708
GA
207RI0200X
Infectious Disease Physician
18405
SD
207RI0200X
Infectious Disease Physician
MD70101001
WA
207RI0200X
Infectious Disease Physician
Primary
ME134756
FL
Other
Enumeration date
09/12/2013
Last updated
04/16/2026
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