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NPI Code Detail

MEDICARE: WHITNEY N VEGA PA

MEDICARE: WHITNEY N VEGA PA
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
1363A00000XPhysician AssistantPA9108717FL
2363AS0400XSurgical Physician AssistantPA9108717FL

General Provider Information

NPI Number : 1528427218
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY N VEGA PA
Provider Business Mailing Address
First Line : 402 SE 6TH AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-5231
Country : US
Telephone Number : 561-265-1990
Fax Number :
Provider Business Practice Location Address
First Line : 402 SE 6TH AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-5231
Country : US
Telephone Number : 561-265-1990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2016
Last Update Date : 08/08/2016

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Directions to “ WHITNEY N VEGA PA” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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