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Organization

MIAMI PRIMARY HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSE ANTONIO VERGARA ARNP (ARNP)
(786) 722-0999
Entity
Organization

Contact information

Practice address
1275 W 47TH PL STE 307, HIALEAH, FL 33012-3447
(786) 722-0999
(786) 349-9000
Mailing address
1275 W 47TH PL STE 307, HIALEAH, FL 33012-3447
(786) 722-0999
(786) 349-9000

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
05/12/2021
Last updated
05/12/2021
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