DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LUISA VEGA

MEDICARE: LUISA 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
1363LG0600XGerontology Nurse PractitionerARNP 9318236FL
2363LP0808XPsychiatric/Mental Health Nurse Practitioner2016026064FL

Other Identifiers

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

General Provider Information

NPI Number : 1558772657
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUISA VEGA
Provider Business Mailing Address
First Line : PO BOX 575
Second Line :
City : RIVERVIEW
State : FL
Zip : 33568-0575
Country : US
Telephone Number : 813-403-4423
Fax Number :
Provider Business Practice Location Address
First Line : 8416 TIDAL BREEZE DR
Second Line :
City : RIVERVIEW
State : FL
Zip : 33569-4722
Country : US
Telephone Number : 813-403-4423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2014
Last Update Date : 02/10/2017

Similar Medicare Providers

1114883923 — MS. JIHANE BAHBAZ
Practice Location Address:
8416 TIDAL BREEZE DR
RIVERVIEW, FL
33569-4722
Practice Phone: 813-766-5002
Practice Fax:
1457356677 — MARGARET A COLLERAN M.D.
Practice Location Address:
13403 BOYETTE RD
RIVERVIEW, FL
33569-8742
Practice Phone: 813-654-1775
Practice Fax: 813-651-9082
1043215262 — SARAH SHIRES WALDRON M.D.
Practice Location Address:
13403 BOYETTE RD
RIVERVIEW, FL
33569-8742
Practice Phone: 813-654-1775
Practice Fax: 813-651-9082
1295730414 — JEFFREY D WARTMAN M.D.
Practice Location Address:
13403 BOYETTE RD
RIVERVIEW, FL
33569-8742
Practice Phone: 813-654-1775
Practice Fax: 813-651-9082
1972502557 — BLOOMINGDALE MEDICAL ASSOCIATES
Practice Location Address:
13403 BOYETTE RD
RIVERVIEW, FL
33569-8742
Practice Phone: 813-654-1775
Practice Fax: 813-651-9082
1154320125 — ELISE FRANCES HAZZARD ARNP
Practice Location Address:
13403 BOYETTE RD
RIVERVIEW, FL
33569-8742
Practice Phone: 813-654-1775
Practice Fax: 813-651-9082

Directions to “ LUISA VEGA ” Practice Location

Language Start Address Practice Location
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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.