Healthcare Provider Details

I. General information

NPI: 1104136936
Provider Name (Legal Business Name): FRANCISCO J VEGA GARCIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2010
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 S DIXIE DR
HAINES CITY FL
33844-2844
US

IV. Provider business mailing address

425 W COLONIAL DR STE 303
ORLANDO FL
32804-6863
US

V. Phone/Fax

Practice location:
  • Phone: 863-421-1190
  • Fax: 863-422-7393
Mailing address:
  • Phone: 321-343-6833
  • Fax: 407-286-4515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME129320
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20121
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: