Individual
DR. ROGER ALFREDO VAZQUEZ GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-4046
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35441
PR
207P00000X
Emergency Medicine Physician
Primary
ME154999
FL
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
ME154999
FL
Other
Enumeration date
05/22/2017
Last updated
05/24/2024
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