Organization
VANGUARD MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO GONZALEZ (PRESIDENT)
(571) 379-5716
Entity
Organization
Contact information
Practice address
8577 SUDLEY RD STE C, MANASSAS, VA 20110-3860
(571) 379-5716
(571) 576-0915
Mailing address
8577 SUDLEY RD STE C, MANASSAS, VA 20110-3860
(571) 379-5716
(571) 576-0915
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
07/15/2025
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