Provider Demographics
NPI:1306943725
Name:VERGA, ARTHUR L (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:L
Last Name:VERGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7543 MEDICAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34677
Mailing Address - Country:US
Mailing Address - Phone:727-868-7800
Mailing Address - Fax:727-868-7866
Practice Address - Street 1:7543 MEDICAL DRIVE
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34677
Practice Address - Country:US
Practice Address - Phone:727-868-7800
Practice Address - Fax:727-868-7866
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49179208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
210008OtherAVMED PROVIDER NUMBER
06270OtherUNIVERSAL PROVIDER NUMBER
FL01455OtherBLUE SHIELD PROVIDER NUM
FL264852100Medicaid
4110909OtherAETNA PROVIDER NUMBER
240873OtherWELLCARE PROVIDER NUMBER
220003259OtherRAILROAD MEDICARE PTAN
06270OtherUNIVERSAL PROVIDER NUMBER
210008OtherAVMED PROVIDER NUMBER