Individual
MR. PEDRO VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 W CARROLL ST, KISSIMMEE, FL 34741-1268
(407) 518-0078
Mailing address
PO BOX 470312, KISSIMMEE, FL 34747-0312
(407) 520-2633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8163
PR
Other
Enumeration date
12/08/2005
Last updated
05/31/2012
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