Individual provider · Type 1 NPI

Luis Gallardo Vega, DDS

Student in an Organized Health Care Education/Training Program · Bradenton, FL

NPI number 1003745084 Active

Practice location

4800 Lakewood Ranch Blvd
Bradenton, FL 34211-4953

Call (941) 405-1600 Map

Mailing address

1508 Leighton Ave
Lakeland, FL 33803-2519

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003745084

Luis Gallardo Vega, DDS's National Provider Identifier is 1003745084, issued on May 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bradenton, FL. The record was last updated on May 15, 2026.