THERESA P VERGO

NAPLES, FL
NPI1003183955
Former NameTHERESA P FORMICA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA9106207)
Enumeration Date2011-11-21
Last Update Date2022-02-04
Business Address
THERESA P VERGO PA-C
681 4TH AVE N
NAPLES, FL 34102-5729
Phone number: 239-434-2622
Mailing Address
THERESA P VERGO PA-C
4371 VERONICA S SHOEMAKER BLVD ATTN: CREDENTIALING DEPARTMENT
FORT MYERS, FL 33916-2216
Phone number: 239-274-8200
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