Individual
RAMON VAZQUEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3370 BURNS RD, SUITE 102, PALM BEACH GARDENS, FL 33410-4327
(561) 694-6911
(561) 625-3239
Mailing address
560 VILLAGE BLVD, STE 200, WEST PALM BEACH, FL 33409-1963
(561) 694-6911
(561) 625-3239
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
ME 85650
FL
208600000X
Surgery Physician
Primary
ME85650
FL
2086S0102X
Surgical Critical Care Physician
ME 85650
FL
2086S0127X
Trauma Surgery Physician
ME 85650
FL
2086S0129X
Vascular Surgery Physician
ME 85650
FL
2086X0206X
Surgical Oncology Physician
ME 85650
FL
208C00000X
Colon & Rectal Surgery Physician
ME 85650
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME 85650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275452500
—
FL
01
—
81495
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
05/25/2006
Last updated
04/19/2016
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