MEDICARE: SUSAN MACIE VAZQUEZ MSN, RN, APRN, PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11029294	FL

General Provider Information

NPI Number	:	1346012937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN MACIE VAZQUEZ MSN, RN, APRN, PMHNP

Provider Business Mailing Address
First Line	:	255 S ORANGE AVE STE 104
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-3411
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 S ORANGE AVE STE 104
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-3411
Country	:	US
Telephone Number	:	407-720-5900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2023
Last Update Date	:	04/12/2024

Similar Medicare Providers

1285584367 — ALL ABOUT YOU HOME HEALTHCARE
Practice Location Address:

255 S ORANGE AVE STE 104#1888
ORLANDO, FL
32801-3411

Practice Phone: 407-890-8558
Practice Fax:

1245008739 — DIVINELY PURPOSED CARE LLC
Practice Location Address:

255 S ORANGE AVE STE 104
ORLANDO, FL
32801-3411

Practice Phone: 407-283-9855
Practice Fax:

1003650680 — NAGALYNE CAZY
Practice Location Address:

255 S ORANGE AVE STE 104
ORLANDO, FL
32801-3411

Practice Phone: 321-804-2718
Practice Fax:

1043032196 — IMANI NIA ALS LPN
Practice Location Address:

255 S ORANGE AVE STE 104
ORLANDO, FL
32801-3411

Practice Phone: 352-272-6713
Practice Fax: 321-326-1028

1346582574 — DEBREITA D TAYLOR
Practice Location Address:

3404 N ORANGE BLOSSOM TRL
ORLANDO, FL
32804-3411

Practice Phone: 407-730-6977
Practice Fax: 407-730-6978

1336481563 — OASIS UNITED TRANSFORMATION COMMUNITY DEVELOPMENT CORPORATION
Practice Location Address:

3404 N ORANGE BLOSSOM TRL
ORLANDO, FL
32804-3411

Practice Phone: 407-730-6977
Practice Fax: 407-730-6978

Directions to “ SUSAN MACIE VAZQUEZ MSN, RN, APRN, PMHNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.