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NPI Code Detail

MEDICARE: MR. LOUIS VAGIAS II MD

MEDICARE: MR. LOUIS VAGIAS II 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
1207Q00000XFamily Medicine PhysicianME74009FL
2207P00000XEmergency Medicine PhysicianME74009FL

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 : 1881675544
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LOUIS VAGIAS II MD
Provider Business Mailing Address
First Line : 2190 HIGHWAY 85 N
Second Line :
City : NICEVILLE
State : FL
Zip : 32578-1045
Country : US
Telephone Number : 850-729-9407
Fax Number : 850-729-9418
Provider Business Practice Location Address
First Line : 2190 HIGHWAY 85 N
Second Line :
City : NICEVILLE
State : FL
Zip : 32578-1045
Country : US
Telephone Number : 850-729-9407
Fax Number : 850-729-9418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 09/03/2009

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