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NPI Code Detail

MEDICARE: ANTHONY M VEGA

MEDICARE:   ANTHONY M VEGA
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
1106S00000XBehavior TechnicianRBT-25-421576FL

General Provider Information

NPI Number : 1083408439
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY M VEGA
Provider Business Mailing Address
First Line : 200 NW 107TH AVE APT 103
Second Line :
City : MIAMI
State : FL
Zip : 33172-3827
Country : US
Telephone Number : 786-319-6672
Fax Number :
Provider Business Practice Location Address
First Line : 200 NW 107TH AVE APT 103
Second Line :
City : MIAMI
State : FL
Zip : 33172-3827
Country : US
Telephone Number : 786-319-6672
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2025
Last Update Date : 04/08/2025

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Directions to “ ANTHONY M VEGA ” Practice Location

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