Individual
GASPAR VAZQUEZ DEMIGUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 S DOUGLAS RD, CORAL GABLES, FL 33134-6914
(305) 445-8461
(904) 346-0113
Mailing address
234 ATLANTIC ISLE, SUNNY ISLES BEACH, FL 33160-4516
(305) 947-5393
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0067352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26440
BCBS
FL
05
—
377175000
—
FL
01
—
930068585
RAILROAD MEDICARE
FL
01
—
P00357012
RR MCR
—
Enumeration date
11/15/2006
Last updated
02/14/2008
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