Vazquez, Brian

Vazquez, Brian is an individual health care provider with primary practice located at 303 North Clyde Morris Blvd. Halifax Health Medical Center, Daytona Beach FL 32114-2709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Vazquez, Brian can be contacted via phone (386) 254-2285.

Contact Information

Primary practice address
303 North Clyde Morris Blvd. Halifax Health Medical Center Daytona Beach FL 32114-2709
Phone: (386) 254-2285
Fax: (386) 425-1304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0085832 Florida

Profile Details

NPI number 1801865654
LBN Legal business name Vazquez, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Apr 5th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801865654 NPPES
Florida MEDICAID 265422900
Florida Other 51529

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