Vigo, Gilberto Luis

Vigo, Gilberto Luis is an individual health care provider with primary practice located at 1005 Mar Walt Dr Internal Medicine Department, Fort Walton Beach FL 32547-6707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Vigo, Gilberto Luis can be contacted via phone (850) 863-8202.

Contact Information

Primary practice address
1005 Mar Walt Dr Internal Medicine Department Fort Walton Beach FL 32547-6707
Phone: (850) 863-8202
Fax: (850) 862-6148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME65239 Florida

Profile Details

NPI number 1790760502
LBN Legal business name Vigo, Gilberto Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jan 16th, 2017 - about 9 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 1790760502 NPPES
Florida MEDICAID 251993300
Florida Other 32800

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