MEDICARE: JANNET VAZQUEZ MACHADO

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	363L00000X	Nurse Practitioner	11042023	FL

General Provider Information

NPI Number	:	1912888264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANNET VAZQUEZ MACHADO

Provider Business Mailing Address
First Line	:	4860 SW 72ND AVE STE 303
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-5526
Country	:	US
Telephone Number	:	305-591-1606
Fax Number	:	305-591-1618

Provider Business Practice Location Address
First Line	:	4860 SW 72ND AVE STE 303
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-5526
Country	:	US
Telephone Number	:	305-591-1606
Fax Number	:	305-591-1618

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

Provider Enumeration Date	:	09/11/2025
Last Update Date	:	09/11/2025

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Directions to “ JANNET VAZQUEZ MACHADO ” Practice Location

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