Most Relevant Information
Provider Data
| NPI Number: | 1003183955 |
| Provider Name: | THERESA P VERGO PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | PA9106207 |
Most Important Dates
| Enumeration Date: | 11/21/2011 |
| Last Updated: | 10/11/2024 |
Provider Practice Location
8625 COLLIER BLVD UNIT 102
NAPLES
FL
341143636
Practice Location Phone/Fax
| Phone: | 2394290100 |
| Fax: | 2392418209 |
Provider Mailing Location
9071 BONITA BEACH RD SE STE 1389
BONITA SPRINGS
FL
341354213
Provider Mailing Phone/Fax
| Phone: | 2394290100 |
| Fax: |