Individual
GEORGE L VERGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4685 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2132
(305) 661-2534
(305) 667-7451
Mailing address
4685 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2132
(305) 661-2534
(305) 667-7451
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME 16592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056178900
—
FL
Enumeration date
05/27/2006
Last updated
10/03/2011
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