Individual
MAURICIO VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3627 UNIVERSITY BLVD S STE 135, JACKSONVILLE, FL 32216-4231
(904) 398-8147
(904) 400-6674
Mailing address
1824 KING ST STE 200, JACKSONVILLE, FL 32204-4736
(904) 384-3343
(904) 400-6671
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9118615
FL
Other
Enumeration date
12/05/2023
Last updated
03/31/2025
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