Most Relevant Information
Provider Data
| NPI Number: | 1003195561 |
| Provider Name: | ARIEL VEGA |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: | MA 63385 |
Most Important Dates
| Enumeration Date: | 08/15/2011 |
| Last Updated: | 08/15/2011 |
Provider Practice Location
618 SW 3RD ST
CAPE CORAL
FL
339911985
Practice Location Phone/Fax
| Phone: | 2392422202 |
| Fax: | 2392422220 |
Provider Mailing Location
618 SW 3RD ST
CAPE CORAL
FL
339911985
Provider Mailing Phone/Fax
| Phone: | 2392422202 |
| Fax: | 2392422220 |