MEDICARE: ELIZABET VAZQUEZ SERRANO ARNP

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	363LF0000X	Family Nurse Practitioner	APRN9366459	FL

General Provider Information

NPI Number	:	1770985632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABET VAZQUEZ SERRANO ARNP

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3168
Country	:	US
Telephone Number	:	305-500-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	692 N HOMESTEAD BLVD STE 102
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33030-6236
Country	:	US
Telephone Number	:	305-664-0067
Fax Number	:	305-631-9834

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

Provider Enumeration Date	:	09/23/2014
Last Update Date	:	02/18/2026

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