Vazquez, Johnny J

Vazquez, Johnny J is an individual health care provider with primary practice located at 1350 S Hickory Street , Melbourne FL 32901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Vazquez, Johnny J can be contacted via phone (321) 254-6218.

Contact Information

Primary practice address
1350 S Hickory Street Melbourne FL 32901
Fax: (321) 254-6230
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 48077 Minnesota
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 97644 Florida

Profile Details

NPI number 1063482073
LBN Legal business name Vazquez, Johnny J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Feb 13th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063482073 NPPES
Florida MEDICAID 277677400
Florida Other 93508

Popular Providers