Vazquez-Diaz, Antonio
Vazquez-Diaz, Antonio is an sole proprietor health care provider with primary practice located at 100 W Gore St Ste 600 , Orlando FL 32806-1051. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Vazquez-Diaz, Antonio can be contacted via phone (321) 842-6671.Contact Information
Primary practice address
100 W Gore St Ste 600
Orlando FL 32806-1051
Phone: (321) 842-6671
Fax: (321) 843-6447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 13655 | Puerto Rico |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | ME 114935 | Florida |
Profile Details
| NPI number | 1578613022 |
|---|---|
| LBN Legal business name | Vazquez-Diaz, Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Oct 26th, 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 | 1578613022 | NPPES |
| Florida | Other | ME 114935 | FLORIDA MEDICAL BOARD |
| Florida | MEDICAID | 008698000 | FLORIDA MEDICAL BOARD |
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