Vergara, Robert Cruz

Vergara, Robert Cruz is an individual health care provider with primary practice located at 40100 Highway 27 , Davenport FL 33837-5900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Vergara, Robert Cruz can be contacted via phone (863) 422-4971.

Contact Information

Primary practice address
40100 Highway 27 Davenport FL 33837-5900
Phone: (863) 422-4971
Fax: (863) 419-2264
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME95775 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 87392 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME95775 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036115480 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 072944 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036115480 Illinois

Profile Details

NPI number 1174578710
LBN Legal business name Vergara, Robert Cruz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Mar 19th, 2022 - about 2 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 1174578710 NPPES
Illinois MEDICAID 036115480-4
Illinois Other 3932056
Illinois MEDICAID 036115480

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