Individual
DR. BRIAN VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 NORTH CLYDE MORRIS BLVD., HALIFAX HEALTH MEDICAL CENTER, DAYTONA BEACH, FL 32114-2709
(386) 254-2285
(386) 425-1304
Mailing address
303 NORTH CLYDE MORRIS BLVD., HALIFAX HEALTH MEDICAL CENTER, DAYTONA BEACH, FL 32114-2709
(386) 254-2285
(386) 425-1304
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0085832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265422900
—
FL
01
—
51529
BCBS
FL
Enumeration date
03/15/2006
Last updated
04/05/2010
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