Vergara, George L

Vergara, George L is an sole proprietor health care provider with primary practice located at 4685 Ponce De Leon Blvd , Coral Gables FL 33146-2132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Vergara, George L can be contacted via phone (305) 661-2534.

Contact Information

Primary practice address
4685 Ponce De Leon Blvd Coral Gables FL 33146-2132
Phone: (305) 661-2534
Fax: (305) 667-7451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME 16592 Florida

Profile Details

NPI number 1780631515
LBN Legal business name Vergara, George L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2006
Last updated Oct 3rd, 2011 - about 15 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 1780631515 NPPES
Florida MEDICAID 056178900

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