Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Raul Lazaro Vega, PTA

Individual provider Physical Therapy Assistant · NPI 1336782028

Raul Lazaro Vega, PTA is a Physical Therapy Assistant in Green Cove Springs, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

803 Oak St
Green Cove Springs, FL 32043-4317
Phone: (904) 284-5606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 29739 (FL)

Record details

NPI number1336782028
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 25, 2019
Last updated in NPPESOctober 25, 2019

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