| John S Virga Dcpa | |
|
4624 Hollywood Blvd Ste 206, Hollywood, FL 33021-6526 | |
| (305) 889-0889 | |
| (305) 889-1749 |
| Full Name | John S Virga Dcpa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4624 Hollywood Blvd Ste 206, Hollywood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083994420 | NPI | - | NPPES |
| 22984 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH6250 (Florida) | Primary |
| Provider Name | John S Virga |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639394406 PECOS PAC ID: 6608047766 Enrollment ID: I20110921000232 |
| Mailing Address | Practice Location Address |
|---|---|
| John S Virga Dcpa 4624 Hollywood Blvd Ste 206, Hollywood, FL 33021-6526 Ph: (305) 889-0889 | John S Virga Dcpa 4624 Hollywood Blvd Ste 206, Hollywood, FL 33021-6526 Ph: (305) 889-0889 |
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