Organization
VICENTE S VERZOSA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICENTE S VERZOSA MD (PRESIDENT)
(863) 324-7755
Entity
Organization
Contact information
Practice address
410 S 11TH ST, LAKE WALES, FL 33853-4203
(863) 676-1433
Mailing address
4031 ASHTON CLUB DR, LAKE WALES, FL 33859-5731
(863) 324-7755
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
17538
FL
Other
Enumeration date
02/25/2008
Last updated
04/01/2008
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