Individual
MILDRED VAZQUEZ GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
810 N NOWELL ST, ORLANDO, FL 32808-7539
(407) 290-9556
(407) 630-6884
Mailing address
509 CAGAN VIEW RD, CLERMONT, FL 34714-6405
(407) 905-8827
(407) 286-4515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301075420
MI
208D00000X
General Practice Physician
Primary
ACN1328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026300
—
FL
Enumeration date
09/30/2006
Last updated
12/07/2021
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