Jeffrey Scott Vasta, M.D.
Internal Medicine in Trinity, FL. Individual provider (NPI-1).
NPI number1023097136
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1023097136
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeffrey Scott Vasta
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2006
- Certification date
- Jul 21, 2022
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME0072377 | FL | Yes |
| 207R00000X | Internal Medicine | ME72377 | FL |
Practice location
3633 Little RoadSuite 101
Trinity, FL 34655-1818
Phone 727-375-2222 · Fax 866-244-2335
Mailing address
3633 Little Rd Ste 101Trinity, FL 34655-1815
Phone 727-375-2222 · Fax 866-244-2335
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