Individual
VICENTE LAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
351 NW 42ND AVE, SUITE 305, MIAMI, FL 33126-5683
(305) 541-1041
(305) 541-7762
Mailing address
351 NW 42ND AVE, SUITE 305, MIAMI, FL 33126-5683
(305) 541-1041
(305) 541-7762
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0024854
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037706600
—
FL
Enumeration date
09/28/2006
Last updated
12/09/2010
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