| Dr Luisa Vega Dnp Llc | |
|
525 Technology Park Ste 109 Lake Mary FL 32746-7107 | |
| (407) 647-2346 | |
| Not Available |
| Full Name | Dr Luisa Vega Dnp Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 525 Technology Park Ste 109, Lake Mary, Florida |
| Authorized Official Name and Position | Luisa Soler Vega (OWNER) |
| Authorized Official Contact | 4076472346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luisa Vega Dnp Llc Po Box 117746 Atlanta GA 30368-7746 Ph: (407) 647-2346 | Dr Luisa Vega Dnp Llc 525 Technology Park Ste 109 Lake Mary FL 32746-7107 Ph: (407) 647-2346 |
| NPI Number | 1063248391 |
|---|---|
| Provider Enumeration Date | 09/12/2024 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063248391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
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