Dr. Renato Vesga
Pain Medicine
9780 N 56th St Suite C
Temple Terrace
, Florida 33617-5508
Dr. Renato Vesga
Pain Medicine
9780 N 56th St Suite C
Temple Terrace
, Florida 33617-5508
(813) 549-7465
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. Renato Vesga
- 9780 N 56th St Suite C
- Temple Terrace, FL
- Zip : 33617-5508
- Phone : (813) 549-7465
Second Address
- Dr. Renato Vesga
- 9780 N 56th St Suite C
- Temple Terrace, FL
- Zip : 33617-5508
- Phone : (813) 549-7465
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | ME111420 | FL |
National Provider Identifier
| NPI | 1063558914 |
|---|---|
| Provider Name | Dr. Renato Vesga |
| First Address | Temple Terrace, FL 33617-5508 |
| Second Address | Temple Terrace, FL 33617-5508 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2007 |
| Last Update Date | 25/02/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| FV2920177 | DEA (01) | FL |
| ME111420 | FL LICENSE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.