Vazquez, Luz G
Vazquez, Luz G is an sole proprietor health care provider with primary practice located at 1701 Se Hillmoor Dr Ste D16, Port St Lucie FL 34952-7541. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Vazquez, Luz G can be contacted via phone (772) 210-1162.Contact Information
Primary practice address
1701 Se Hillmoor Dr Ste D16
Port St Lucie FL 34952-7541
Phone: (772) 210-1162
Fax: (772) 577-7844
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME68140 | Florida |
Profile Details
NPI number | 1568418325 |
---|---|
LBN Legal business name | Vazquez, Luz G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 25th, 2006 |
Last updated | Jul 24th, 2017 - about 7 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 | 1568418325 | NPPES |
Florida | MEDICAID | 257198600 | |
Florida | Other | 31913X |
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