Vigil, Derek A
Vigil, Derek A is an individual health care provider with primary practice located at 5350 Atlantic Ave Ste 100 , Delray Beach FL 33484-8112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vigil, Derek A can be contacted via phone (561) 496-5677.Contact Information
Primary practice address
5350 Atlantic Ave Ste 100
Delray Beach FL 33484-8112
Phone: (561) 496-5677
Fax: (561) 496-5824
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME79192 | Florida |
Profile Details
NPI number | 1962453738 |
---|---|
LBN Legal business name | Vigil, Derek A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2006 |
Last updated | Dec 5th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962453738 | NPPES |
Florida | MEDICAID | 263521600 |
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