MEDICARE: HEIDY M VARGAS ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11011788	FL

General Provider Information

NPI Number	:	1023687878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDY M VARGAS ARNP

Provider Business Mailing Address
First Line	:	14701 SW 107TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-7792
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1452 NW 17TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-2323
Country	:	US
Telephone Number	:	786-317-3227
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2021
Last Update Date	:	06/24/2021

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Directions to “ HEIDY M VARGAS ARNP” Practice Location

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