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Individual

DR. ELISA CRUZ VEGERANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
195 SOUTH PARK BLVD, ST. AUGUSTINE, FL 32086
(904) 829-0814
(904) 829-0814
Mailing address
220 PRESIDENTS CUP WAY, UNIT 201, ST AUGUSTINE, FL 32092-3728
(787) 667-0175
(787) 667-0175

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12991
PR

Other

Enumeration date
12/05/2005
Last updated
09/24/2015
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