Dr Jorge L Vazquez, MD | |
1140 S Semoran Blvd, Suite E, Orlando, FL 32807-1459 | |
(407) 384-9165 | |
(407) 384-9174 |
Full Name | Dr Jorge L Vazquez |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 34 Years |
Location | 1140 S Semoran Blvd, Orlando, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992990212 | NPI | - | NPPES |
003738500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME107365 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Orlando | Orlando, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pcc Medical Holdings Llc | 0446679468 | 26 |
Entity Name | Pcc Medical Holdings Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174167993 PECOS PAC ID: 0446679468 Enrollment ID: O20200924001757 |
Mailing Address | Practice Location Address |
---|---|
Dr Jorge L Vazquez, MD 1140 S Semoran Blvd, Suite E, Orlando, FL 32807-1459 Ph: (407) 384-9165 | Dr Jorge L Vazquez, MD 1140 S Semoran Blvd, Suite E, Orlando, FL 32807-1459 Ph: (407) 384-9165 |
Baha Aldeen Bani Fawwaz, MBBS General Practice Medicare: Medicare Enrolled Practice Location: 2501 N Orange Ave Ste 235, Orlando, FL 32804 Phone: 407-303-7270 | |
Dr. Nhung Thi Tran, M.D General Practice Medicare: Not Enrolled in Medicare Practice Location: 4000 Central Florida Blvd, Orlando, FL 32816 Phone: 407-823-2098 Fax: 407-823-6932 | |
Dr. Marcos Antonio Rivera Roman, MD General Practice Medicare: Medicare Enrolled Practice Location: 1130 S Semoran Blvd Ste Bandc, Orlando, FL 32807 Phone: 407-382-1376 Fax: 321-235-3232 | |
Dr. Juan Carlos Cantu, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 7359 Lake Underhill Rd, Orlando, FL 32822 Phone: 407-900-9284 Fax: 407-203-8887 | |
Abhishek Mishra, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 7620 Lake Underhill Rd, Orlando, FL 32822 Phone: 321-235-0692 Fax: 321-235-0694 | |
Osmany Lazaro Rodriguez Herrada, MD General Practice Medicare: Medicare Enrolled Practice Location: 811 N Nowell St, Orlando, FL 32808 Phone: 407-259-2383 Fax: 407-363-3884 | |
Dr. Dariusz Grzegorz Mydlarz, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6336 W Colonial Dr, Orlando, FL 32818 Phone: 407-219-5200 Fax: 321-281-8700 |