MEDICARE: MS. MILAGROS VARGAS-TORRES

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	247200000X	Other Technician	MA 10950	FL

General Provider Information

NPI Number	:	1700035482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MILAGROS VARGAS-TORRES

Provider Business Mailing Address
First Line	:	PO BOX 8608
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33674-8608
Country	:	US
Telephone Number	:	813-933-0317
Fax Number	:

Provider Business Practice Location Address
First Line	:	6506 N FLORIDA AVE
Second Line	:	STE 101
City	:	TAMPA
State	:	FL
Zip	:	33604-6060
Country	:	US
Telephone Number	:	813-964-6872
Fax Number	:	813-964-6874

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

Provider Enumeration Date	:	09/17/2008
Last Update Date	:	09/17/2008

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