Individual
ANDRES CORREA-VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
(407) 970-0824
(321) 235-5506
Mailing address
1545 OAKWOOD CT, APOPKA, FL 32703-1579
(321) 900-5391
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30303
FL
Other
Enumeration date
08/03/2020
Last updated
08/06/2020
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