Provider Demographics
NPI:1679973143
Name:TEXEIRA, VANGIE (MED)
Entity type:Individual
Prefix:
First Name:VANGIE
Middle Name:
Last Name:TEXEIRA
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 BONNEVILLE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-3314
Mailing Address - Country:US
Mailing Address - Phone:407-579-0726
Mailing Address - Fax:
Practice Address - Street 1:2510 BONNEVILLE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-3314
Practice Address - Country:US
Practice Address - Phone:407-579-0726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker