Vargas Madueno, Fernando Manuel

Vargas Madueno, Fernando Manuel is an individual health care provider with primary practice located at 603 N Flamingo Rd Ste 151 , Pembroke Pines FL 33028-1021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Vargas Madueno, Fernando Manuel can be contacted via phone (954) 265-4325.

Contact Information

Primary practice address
603 N Flamingo Rd Ste 151 Pembroke Pines FL 33028-1021
Phone: (954) 265-4325
Fax: (954) 443-4615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME117328 Florida

Profile Details

NPI number 1053692335
LBN Legal business name Vargas Madueno, Fernando Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2011
Last updated Mar 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053692335 NPPES
Florida MEDICAID 021446400

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