Individual
DR. RAUL JAVIER VARGAS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 E CENTRAL AVE, WINTER HAVEN, FL 33880-6312
(407) 315-3637
(407) 358-3440
Mailing address
PO BOX 532, LAKE ALFRED, FL 33850-0532
(407) 315-3637
(407) 358-3440
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1361
FL
208D00000X
General Practice Physician
MED-PHYS-REG-0002152
MT
208D00000X
General Practice Physician
TPME1150
FL
363AM0700X
Medical Physician Assistant
TPPA107
FL
Other
Enumeration date
12/16/2020
Last updated
09/13/2023
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