Individual
ERIKA DANIELA TACO VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2608
(352) 273-8610
Mailing address
HENRY FORD HOSPITAL, MEDICAL EDUCATION DEPARTMENT, 2799 W GRAND BOULEVARD, DETROIT, MI 48202-2608
(313) 916-8445
(313) 916-9434
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4351044588
MI
207L00000X
Anesthesiology Physician
Primary
ME164909
FL
390200000X
Student in an Organized Health Care Education/Training Program
4351044588
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122575200
—
FL
Enumeration date
07/01/2019
Last updated
07/16/2024
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