Individual
JOHANAN VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(407) 385-0545
Mailing address
14 MANGROVE CT S, HOMOSASSA, FL 34446-4507
(407) 745-1577
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME142061
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
142061
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2016
Last updated
01/31/2023
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