Vagovic, Richard J

Vagovic, Richard J is an individual health care provider with primary practice located at 311 North Clyde Morris Blvd Ste 420, Daytona Beach FL 32114-1493. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Vagovic, Richard J can be contacted via phone (386) 274-1005.

Contact Information

Primary practice address
311 North Clyde Morris Blvd Ste 420 Daytona Beach FL 32114-1493
Fax: (386) 274-5779
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME55416 Florida
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME55416 Florida
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X ME55416 Florida

Profile Details

NPI number 1558367581
LBN Legal business name Vagovic, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jun 29th, 2011 - about 13 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 1558367581 NPPES
Florida MEDICAID 064259200

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