Individual
DR. ANTONIO VAZQUEZ-DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 W GORE ST STE 600, ORLANDO, FL 32806-1051
(321) 842-6671
(321) 843-6447
Mailing address
100 W GORE ST STE 600, ORLANDO, FL 32806-1051
(321) 842-6671
(321) 843-6447
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
13655
PR
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME 114935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008698000
—
FL
01
—
ME 114935
FLORIDA MEDICAL BOARD
FL
Enumeration date
01/10/2007
Last updated
10/26/2023
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