Individual
DR. GILBERTO VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PT
Contact information
Practice address
239 N RIDGEWOOD AVE, EDGEWATER, FL 32132-1734
(386) 427-4868
(386) 427-6350
Mailing address
3026 MELETO BLVD, NEW SMYRNA BEACH, FL 32168-6513
(407) 453-4541
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME152251
FL
2251X0800X
Orthopedic Physical Therapist
23335
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2007
Last updated
07/17/2023
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