Individual
MATTHEW VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
603 7TH ST S STE 100, ST PETERSBURG, FL 33701-4719
(727) 553-7240
(727) 553-7241
Mailing address
603 7TH ST S STE 100, ST PETERSBURG, FL 33701-4719
(727) 553-7240
(727) 553-7241
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME163625
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129856500
—
FL
01
—
ZUA0012347622515
TRIPLE-S SALUD
PR
Enumeration date
03/21/2019
Last updated
02/23/2026
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