Healthcare Provider Details

I. General information

NPI: 1982909271
Provider Name (Legal Business Name): SAUL FELIPE ESTRADA-VAZQUEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: SAUL F. ESTRADA M.D.

II. Dates (important events)

Enumeration Date: 01/18/2011
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 FOWLER GROVE BLVD
WINTER GARDEN FL
34787-5050
US

IV. Provider business mailing address

2000 FOWLER GROVE BLVD
WINTER GARDEN FL
34787-5050
US

V. Phone/Fax

Practice location:
  • Phone: 407-347-0774
  • Fax:
Mailing address:
  • Phone: 407-347-0774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number18114
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME123387
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: