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NPI Code Detail

MEDICARE: MS. JEWEL VAZQUEZ PHARM D

MEDICARE: MS. JEWEL VAZQUEZ PHARM D
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
1183500000XPharmacistPS44833FL

General Provider Information

NPI Number : 1558642272
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JEWEL VAZQUEZ PHARM D
Provider Business Mailing Address
First Line : 700 WINTHROP PL
Second Line :
City : ORLANDO
State : FL
Zip : 32803-6641
Country : US
Telephone Number : 407-267-0090
Fax Number :
Provider Business Practice Location Address
First Line : 13880 TOWNE PLACE BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32837-3345
Country : US
Telephone Number : 407-857-4548
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2011
Last Update Date : 09/08/2011

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