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Miss Paula Xiomara Vega, PRECIDENTE
Prosthetic/Orthotic Supplier in Medley, Florida
NPI 1669403358

Paula Xiomara Vega is a Prosthetic/Orthotic Supplier based in Medley, FL. Paula Xiomara Vega practices in Medley, FL and has the professional credentials of PRECIDENTE. The NPI Number for Paula Xiomara Vega is 1669403358 and holds a License No. (Florida).

The current practice location address for Paula Xiomara Vega is 8264 Nw South River Dr, Medley, FL and can be reached out via phone at 305-885-0740 and via fax at 305-332-5459.

Location: 8264 Nw South River Dr, Medley, FL, 33166-7451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669403358
Provider Name
Paula Xiomara Vega
Credential
PRECIDENTE
Provider Entity Type
Individual
Gender
Female
Address
8264 Nw South River Dr, Medley, FL, 33166-7451
Phone Number
305-885-0740
Fax Number
305-332-5459
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R9129 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
8264 Nw South River Dr
City
Medley
State
Florida
Zip
33166-7451
Phone Number
305-885-0740
Fax Number
305-332-5459
person
Provider Business Mailing Address Details
Address
8264 Nw South River Dr
City
Medley
State
Florida
Zip
33166-7451
Phone Number
305-885-0740
Fax Number
305-332-5459
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
ORF 148 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
04548 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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