Vazquez, Antonio
Vazquez, Antonio is an individual health care provider with primary practice located at 400 N Hiatus Rd Suite 105, Pembroke Pines FL 33026-5214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Vazquez, Antonio can be contacted via phone (954) 431-8000.Contact Information
Primary practice address
400 N Hiatus Rd Suite 105
Pembroke Pines FL 33026-5214
Phone: (954) 431-8000
Fax: (954) 436-0449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME17534 | Florida |
Profile Details
| NPI number | 1184613440 |
|---|---|
| LBN Legal business name | Vazquez, Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Oct 9th, 2013 - about 11 years ago |
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 | 1184613440 | NPPES |
| Florida | MEDICAID | 051996100 |
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