Vignali, Sergio Juan

Vignali, Sergio Juan is an individual health care provider with primary practice located at 500 Health Blvd , Daytona Beach FL 32114-1492. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Vignali, Sergio Juan can be contacted via phone (386) 252-5858.

Contact Information

Primary practice address
500 Health Blvd Daytona Beach FL 32114-1492
Fax: (386) 252-4477
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME97991 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35.087342 Ohio

Profile Details

NPI number 1417085309
LBN Legal business name Vignali, Sergio Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Sep 20th, 2018 - about 6 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 1417085309 NPPES
Ohio MEDICAID 0076178
Ohio MEDICAID 000256300

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