Doctor Name: | JOANA VICENTE VARGAS |
NPI Number: | 1003221938 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | TRN20042 |
Business Practice Address: | 6850 Lake Nona Blvd Orlando, FL - 328277408 |
Business Phone Number: | 4072661106 |
Business Fax Number: | |
Mailing Address: | 3011 Marta Cir Apt 201, KISSIMMEE |
State: | FL |
Postal Code: | 347410750 |
Phone Number: | 4074128830 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2014 |
NPI Last Update Date: | 06/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TRN20042 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |