Individual
LUIS C VAZQUEZ-ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2475 GARRISON AVE, PORT ST JOE, FL 32456-5265
(850) 227-1276
Mailing address
2466 LAKESHORE CIR, PORT CHARLOTTE, FL 33952-4118
(941) 624-6240
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
ACN167
FL
208D00000X
General Practice Physician
Primary
ACN167
FL
Other
Enumeration date
07/06/2006
Last updated
09/11/2025
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