Vazzana, Kathleen

Vazzana, Kathleen is an sole proprietor health care provider with primary practice located at 1802 Kuhl Ave Ste 101 , Orlando FL 32806-2004. She 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 Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is her primary health care specialty. Vazzana, Kathleen can be contacted via phone (321) 843-9400.

Contact Information

Primary practice address
1802 Kuhl Ave Ste 101 Orlando FL 32806-2004
Phone: (321) 843-9400
Fax: (321) 841-5781
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X UO 4550 Florida
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X OS17693 Florida

Profile Details

NPI number 1083097521
LBN Legal business name Vazzana, Kathleen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2015
Last updated Jul 16th, 2024 - about 4 months 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 1083097521 NPPES
Florida MEDICAID 110330100

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