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NPI Code Detail

MEDICARE: ISABELA VANGA

MEDICARE: ISABELA VANGA
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
1101YM0800XMental Health CounselorIMH28498FL

General Provider Information

NPI Number : 1053261180
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELA VANGA
Provider Business Mailing Address
First Line : 508 S HABANA AVE STE 340
Second Line :
City : TAMPA
State : FL
Zip : 33609-4191
Country : US
Telephone Number : 813-873-7367
Fax Number : 813-875-9722
Provider Business Practice Location Address
First Line : 508 S HABANA AVE STE 340
Second Line :
City : TAMPA
State : FL
Zip : 33609-4191
Country : US
Telephone Number : 813-873-7367
Fax Number : 813-875-9722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “ ISABELA VANGA ” Practice Location

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