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NPI Code Detail

MEDICARE: MILDRED VAZQUEZ GARCIA MD

MEDICARE: MILDRED VAZQUEZ GARCIA 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
1207R00000XInternal Medicine Physician4301075420MI
2208D00000XGeneral Practice PhysicianACN1328FL

Other Identifiers

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

General Provider Information

NPI Number : 1841383262
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILDRED VAZQUEZ GARCIA MD
Provider Business Mailing Address
First Line : 509 CAGAN VIEW RD
Second Line :
City : CLERMONT
State : FL
Zip : 34714-6405
Country : US
Telephone Number : 407-905-8827
Fax Number : 407-286-4515
Provider Business Practice Location Address
First Line : 810 N NOWELL ST
Second Line :
City : ORLANDO
State : FL
Zip : 32808-7539
Country : US
Telephone Number : 407-290-9556
Fax Number : 407-630-6884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2006
Last Update Date : 12/07/2021

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Directions to “ MILDRED VAZQUEZ GARCIA MD” Practice Location

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