Vazquez, Alexis Augustine
Vazquez, Alexis Augustine is an individual health care provider with primary practice located at 1361 13Th Ave S Ste 245 , Jacksonville Beach FL 32250. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Vazquez, Alexis Augustine can be contacted via phone (904) 493-7174.Contact Information
Primary practice address
1361 13Th Ave S Ste 245
Jacksonville Beach FL 32250
Phone: (904) 493-7174
Fax: (904) 694-0696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | OS9778 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | OS9778 | Florida |
Profile Details
| NPI number | 1518909167 |
|---|---|
| LBN Legal business name | Vazquez, Alexis Augustine |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Nov 17th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518909167 | NPPES |
| Florida | Other | U7983T | MEDICARE - INDIVIDUAL |
| Florida | Other | OS9778 | MEDICARE - INDIVIDUAL |
| Florida | Other | 0098365-00 | MEDICARE - INDIVIDUAL |
| Florida | Other | P01189293 | MEDICARE - INDIVIDUAL |
| Florida | Other | 004E6 | MEDICARE - INDIVIDUAL |
| Florida | Other | DT8174 | MEDICARE - INDIVIDUAL |
| Florida | Other | 302411 | MEDICARE - INDIVIDUAL |
| Florida | MEDICAID | 2757133-00 | MEDICARE - INDIVIDUAL |
| Florida | Other | 53029 | MEDICARE - INDIVIDUAL |
| Florida | Other | GR172A | MEDICARE - INDIVIDUAL |
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