Healthcare Provider Details

I. General information

NPI: 1093891673
Provider Name (Legal Business Name): GALINA VUGMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5951 CATTLERIDGE AVE
SARASOTA FL
34232-6063
US

IV. Provider business mailing address

5951 CATTLERIDGE AVE
SARASOTA FL
34232-6063
US

V. Phone/Fax

Practice location:
  • Phone: 941-200-1125
  • Fax: 941-200-1126
Mailing address:
  • Phone: 941-200-1125
  • Fax: 941-200-1126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberME103860
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberME103860
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: