Individual
CARLOS J VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12271 US HIGHWAY 301 N, PARRISH, FL 34219-8410
(941) 776-4050
(941) 776-4057
Mailing address
700 8TH AVE W, STE 101, PALMETTO, FL 34221-4737
(941) 776-4008
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME63251
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00451
UNIVERSAL MEDICARE MASTERPIECE
FL
01
—
1069024
UHC
FL
01
—
18354
BCBS
FL
01
—
191900
AMERIGROP
FL
01
—
266011
WELLCARE
FL
05
—
371629500
—
FL
01
—
P102214
FREEDOM HEALTH
FL
Enumeration date
03/14/2006
Last updated
03/24/2017
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