Individual
JOEL VEGA DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10101 FOREST HILL BLVD, WELLINGTON, FL 33414-6103
(561) 798-8563
Mailing address
2220 WINDCREST LAKE CIR, ORLANDO, FL 32824-5666
(787) 596-0725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9353472
FL
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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