Individual
MADELINE VEGA BERRIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTER NURSE
Contact information
Practice address
1714 E IRLO BRONSON MEMORIAL HWY STE A, SAINT CLOUD, FL 34771-5836
(407) 583-4795
(407) 583-6412
Mailing address
1714 E IRLO BRONSON MEMORIAL HWY STE A, SAINT CLOUD, FL 34771-5836
(407) 583-4795
(407) 583-6412
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
9390051
FL
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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