Provider Demographics
NPI:1306072483
Name:VARGAS ABELLO, LINA MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:LINA
Middle Name:MARIA
Last Name:VARGAS ABELLO
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13528 SUMMERPORT VILLAGE PKWY
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-7366
Mailing Address - Country:US
Mailing Address - Phone:407-612-7738
Mailing Address - Fax:407-612-7739
Practice Address - Street 1:13528 SUMMERPORT VILLAGE PKWY
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-7366
Practice Address - Country:US
Practice Address - Phone:407-612-7738
Practice Address - Fax:407-612-7739
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2014-01087208600000X
FLME1269002086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery