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NPI Code Detail

MEDICARE: ARMANDO VAZQUEZ APRN

MEDICARE:   ARMANDO  VAZQUEZ  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPRN11017761FL
2363LA2200XAdult Health Nurse PractitionerAPRN11017761FL
3363LG0600XGerontology Nurse PractitionerAPRN11017761FL
4363LP2300XPrimary Care Nurse PractitionerAPRN11017761FL

General Provider Information

NPI Number : 1972256279
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARMANDO VAZQUEZ APRN
Provider Business Mailing Address
First Line : 5405 BEARUP ST
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33981-2239
Country : US
Telephone Number : 941-249-2970
Fax Number :
Provider Business Practice Location Address
First Line : 5405 BEARUP ST
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33981-2239
Country : US
Telephone Number : 941-249-2970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2022
Last Update Date : 06/27/2024

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Directions to “ ARMANDO VAZQUEZ APRN” Practice Location

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