Provider Demographics
NPI:1073010096
Name:VAKA, ABIGAIL SPURGIN (BS)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:SPURGIN
Last Name:VAKA
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:MARIE
Other - Last Name:SPURGIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2104 W HILLS AVE APT 307
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-3171
Mailing Address - Country:US
Mailing Address - Phone:813-753-2090
Mailing Address - Fax:
Practice Address - Street 1:2104 W HILLS AVE APT 307
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3171
Practice Address - Country:US
Practice Address - Phone:813-753-2090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic