Individual
MIGUEL ANGEL VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4117 N FORBES RD, PLANT CITY, FL 33565-4947
(813) 730-9505
Mailing address
4117 N FORBES RD, PLANT CITY, FL 33565-4947
(813) 730-9505
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
001595-01
NY
225200000X
Physical Therapy Assistant
Primary
PTA31889
FL
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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