Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | PT36271 | FL |
NPI | 1023607900 |
---|---|
Provider Name | Lauren Vigliotti |
First Address | Orlando, FL 32827-7401 |
Second Address | Orlando, FL 32827-7401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2021 |
Last Update Date | 14/01/2021 |