Individual
DR. PAUL ALFRED VIGNOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21097 NE 27TH CT, SUITE 350, AVENTURA, FL 33180-1204
(786) 428-1059
(786) 428-1062
Mailing address
175 MARY ST, BOONE, NC 28607-5025
(828) 264-9664
(786) 428-1062
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME31676
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064486200
—
FL
01
—
P00717543
RR MEDICARE
FL
Enumeration date
08/12/2005
Last updated
09/26/2013
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