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NPI Code Detail

MEDICARE: DR. RICHARD E VASQUEZ MD

MEDICARE: DR. RICHARD E VASQUEZ MD
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
1207P00000XEmergency Medicine PhysicianMD125904FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194785691
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD E VASQUEZ MD
Provider Business Mailing Address
First Line : 18167 US HIGHWAY 19 N
Second Line :
City : CLEARWATER
State : FL
Zip : 33764-3528
Country : US
Telephone Number : 727-507-3600
Fax Number :
Provider Business Practice Location Address
First Line : 21298 OLEAN BLVD
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33952-6705
Country : US
Telephone Number : 941-629-1181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 03/09/2026

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Directions to “ DR. RICHARD E VASQUEZ MD” Practice Location

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