Whalio Doctors

NPI 1114322070

Victor Penagos, HSE

Practitioner Surgical Assistant Boca Raton, FL

Practice location

Address
22198 Bella Lago Dr APT 1118, Boca Raton, FL 33433-4839
Phone
(561) 777-9952

Registered specialties

Surgical Assistant Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence HSE 11988 (FL)

Registry record

NPI
1114322070
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Nov 2014
Record last updated
4 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.