Amy Vazquez, Carlos D

Amy Vazquez, Carlos D is an sole proprietor health care provider with primary practice located at 1213 State Road 20 , Interlachen FL 32148-2737. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Amy Vazquez, Carlos D can be contacted via phone (386) 684-4914.

Contact Information

Primary practice address
1213 State Road 20 Interlachen FL 32148-2737
Phone: (386) 684-4914
Fax: (386) 684-6524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 15813 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN1030 Florida

Profile Details

NPI number 1417902685
LBN Legal business name Amy Vazquez, Carlos D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Mar 22nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417902685 NPPES
Puerto Rico Other 15813 MEDICAL LICENSE
Puerto Rico Other ACN1030 MEDICAL LICENSE

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