Provider Demographics
NPI:1659149649
Name:LAVERGNE-VEGA, FELIPE ENRIQUE (DC)
Entity Type:Individual
Prefix:DR
First Name:FELIPE
Middle Name:ENRIQUE
Last Name:LAVERGNE-VEGA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 570849
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32857-0849
Mailing Address - Country:US
Mailing Address - Phone:787-328-5407
Mailing Address - Fax:
Practice Address - Street 1:10247 DWELL CT APT 206
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-6072
Practice Address - Country:US
Practice Address - Phone:787-328-5407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14833111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor