Individual
YEVGENIY VUGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1350 13TH AVE S, JACKSONVILLE, FL 32250-3203
(904) 713-3704
Mailing address
3003 YANLEE LN, JACKSONVILLE, FL 32223-7240
(904) 713-3704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9414930
FL
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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