Vazquez-Pertejo, Maria T

Vazquez-Pertejo, Maria T is an individual health care provider with primary practice located at 3461 Fairlane Farms Rd , Wellington FL 33414-8752. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Vazquez-Pertejo, Maria T can be contacted via phone (561) 766-1300.

Contact Information

Primary practice address
3461 Fairlane Farms Rd Wellington FL 33414-8752
Phone: (561) 766-1300
Fax: (561) 693-0539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME0079884 Florida

Profile Details

NPI number 1154393221
LBN Legal business name Vazquez-Pertejo, Maria T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Feb 19th, 2015 - about 11 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 1154393221 NPPES
Florida Other 35281 BLUE CROSS BLUE SHIELD
Florida MEDICAID 258840400 BLUE CROSS BLUE SHIELD

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