Vazquez Garcia, Gerardo Antonio

Vazquez Garcia, Gerardo Antonio is an individual health care provider with primary practice located at 807 Childrens Way , Jacksonville FL 32207-8426. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Vazquez Garcia, Gerardo Antonio can be contacted via phone (904) 697-3600.

Contact Information

Primary practice address
807 Childrens Way Jacksonville FL 32207-8426
Fax:
Website:

Health care specialties

Profile Details

NPI number 1386901585
LBN Legal business name Vazquez Garcia, Gerardo Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2012
Last updated Jan 17th, 2020 - about 4 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 1386901585 NPPES
Florida MEDICAID 101436300

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