Individual
MR. JORGE J VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9507 LETTERSTONE CT, TAMPA, FL 33615-1972
(813) 385-4860
Mailing address
9507 LETTERSTONE CT, TAMPA, FL 33615-1972
(813) 385-4860
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-1848914
—
FL
Enumeration date
09/10/2018
Last updated
09/10/2018
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