Individual
MR. JOSEPH WARREN VERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
630 PASADENA AVE S, ST PETERSBURG, FL 33707-2128
(727) 345-7100
(727) 345-7102
Mailing address
630 PASADENA AVE S, ST PETERSBURG, FL 33707-2128
(727) 345-7100
(727) 345-7102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9415612
FL
363LA2200X
Adult Health Nurse Practitioner
F304318-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018482700
—
FL
01
—
LMVR5
FLORIDA BLUE
FL
Enumeration date
05/24/2012
Last updated
09/23/2016
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