Individual
ANTONIO VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N HIATUS RD, SUITE 105, PEMBROKE PINES, FL 33026-5214
(954) 431-8000
(954) 436-0449
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(954) 431-8000
(954) 436-0449
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME17534
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051996100
—
FL
Enumeration date
10/19/2005
Last updated
10/09/2013
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