Individual
TIMOTHY VIGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11200 SW 8TH ST, GPA 156, MIAMI, FL 33199-2516
(803) 225-0172
Mailing address
3240 SW 105TH AVE, MIAMI, FL 33165-3726
(803) 225-0172
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3740
FL
Other
Enumeration date
07/16/2016
Last updated
07/16/2016
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