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Individual

DR. MICHAEL P VIGNOGNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3800 W BROWARD BLVD, STE 100, FORT LAUDERDALE, FL 33312-1018
(954) 587-1008
(954) 990-2198
Mailing address
3800 W BROWARD BLVD, STE 100, FORT LAUDERDALE, FL 33312-1018
(954) 587-1008
(954) 990-2198

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME 121963
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1524464
UBH
RI
01
308881
BC
RI
01
404578
BLUE CHIP
RI
Enumeration date
08/22/2006
Last updated
11/08/2016
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