Varghese, Vinny M

Varghese, Vinny M is an sole proprietor health care provider with primary practice located at 2720 Rebecca Ln 2, Orange City FL 32763-8351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Varghese, Vinny M can be contacted via phone (386) 228-1234.

Contact Information

Primary practice address
2720 Rebecca Ln 2 Orange City FL 32763-8351
Fax: (386) 228-3636
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME85292 Florida

Profile Details

NPI number 1154370559
LBN Legal business name Varghese, Vinny M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Apr 15th, 2008 - about 18 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 1154370559 NPPES
Florida Other 17184Y MEDICARE INDIVIDUAL PTAN
Florida Other AH745 MEDICARE INDIVIDUAL PTAN

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