Individual
DR. ANTHONY VAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 DUNN AVE, JACKSONVILLE, FL 32218-6330
(904) 757-1998
(904) 696-7462
Mailing address
1215 DUNN AVE, JACKSONVILLE, FL 32218-6330
(904) 757-1998
(904) 696-7462
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0024762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008909900
—
FL
01
—
15389X
MEDICARE
FL
Enumeration date
02/22/2006
Last updated
05/12/2014
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