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General NPI Number Information
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NPI Number | 1578873634
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Entity Type | Organization
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Legal Business Name | FRANCISCO M. VAZQUEZ, M.D., P.A.
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 4595 PALM BEACH BLVD SUITE 1
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City | FORT MYERS
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State | FL
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Zip | 33905-3400
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Country | US
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Telephone | 239-694-0533
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Fax | 239-694-1507
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Provider Business Mailing Address
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Address Line | 4595 PALM BEACH BLVD SUITE 1
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City | FORT MYERS
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State | FL
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Zip | 33905-3400
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Country | US
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Telephone | 239-694-0533
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Fax | 239-694-1507
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Authorized Official
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Title or Position | DIRECTOR
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Name | FRANCISCO MAXIMO VAZQUEZ
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Credential | M.D.
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Telephone | 239-694-0533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME68742
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License Number State | FL
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