MEDICARE: CARLOS F. VARGAS MD

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	207L00000X	Anesthesiology Physician	ME39935	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386612349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS F. VARGAS MD

Provider Business Mailing Address
First Line	:	2101 RIVERSIDE DR # 101
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6260
Country	:	US
Telephone Number	:	954-341-6201
Fax Number	:	954-341-6204

Provider Business Practice Location Address
First Line	:	2101 RIVERSIDE DR # 101
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6260
Country	:	US
Telephone Number	:	954-341-6201
Fax Number	:	954-341-6204

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

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	02/17/2017

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