Individual
DEBORAH VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6001 WEBB RD, TAMPA, FL 33615-3241
(813) 329-6012
Mailing address
861 SW 78TH AVE, SUITE # 100B, PLANTATION, FL 33324-3273
(954) 693-0000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3010
FL
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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