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NPI Code Detail

MEDICARE: DR. MAURICE C VEGA

MEDICARE: DR. MAURICE C 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
1183500000XPharmacistPS58187FL

General Provider Information

NPI Number : 1629548193
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAURICE C VEGA
Provider Business Mailing Address
First Line : 315 W PLATT ST
Second Line :
City : TAMPA
State : FL
Zip : 33606-2241
Country : US
Telephone Number : 813-251-3939
Fax Number : 813-251-2141
Provider Business Practice Location Address
First Line : 315 W PLATT ST
Second Line :
City : TAMPA
State : FL
Zip : 33606-2241
Country : US
Telephone Number : 813-251-3939
Fax Number : 813-251-2141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2018
Last Update Date : 11/27/2018

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Directions to “ DR. MAURICE C VEGA ” Practice Location

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