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:
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Health care specialties

SpecialtyCodeLicense #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 4 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 1962453738 NPPES
Florida MEDICAID 263521600

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