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Contact Information

HEATHER L ELIZONDO VEGA, MD
15502 STONEYBROOK WEST PKWY
SUITE 2-108
WINTER GARDEN, FL34787-4767
 Phone: 210-287-7243
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for HEATHER L ELIZONDO VEGA · (Female)

NPI # 1457341414
Status Active
Credentials MD
Entity Individual
Enumeration date 10/21/2005
Last updated 07/29/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME 114824
  • GA License # 055126
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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