Vazquez Garcia, Gerardo Antonio
Vazquez Garcia, Gerardo Antonio is an individual health care provider with primary practice located at 807 Childrens Way , Jacksonville FL 32207-8426. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Vazquez Garcia, Gerardo Antonio can be contacted via phone (904) 697-3600.Contact Information
Primary practice address
807 Childrens Way
Jacksonville FL 32207-8426
Phone: (904) 697-3600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New York | |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | ME138331 | Florida |
Profile Details
| NPI number | 1386901585 |
|---|---|
| LBN Legal business name | Vazquez Garcia, Gerardo Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2012 |
| Last updated | Jan 17th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386901585 | NPPES |
| Florida | MEDICAID | 101436300 |
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