Dr Valerie Katiana Vazquez, MD | |
2970 W Us Highway 90 Ste 110, Lake City, FL 32055-4703 | |
(386) 247-6910 | |
(386) 247-6915 |
Full Name | Dr Valerie Katiana Vazquez |
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Gender | Female |
Speciality | Surgery |
Location | 2970 W Us Highway 90 Ste 110, Lake City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013450477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 162902 (Florida) | Primary |
Entity Name | Lake City Regional Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184910036 PECOS PAC ID: 5294908901 Enrollment ID: O20111025000347 |
Mailing Address | Practice Location Address |
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Dr Valerie Katiana Vazquez, MD 13164 Sw 8th Ln, Newberry, FL 32669-0108 Ph: (787) 405-2019 | Dr Valerie Katiana Vazquez, MD 2970 W Us Highway 90 Ste 110, Lake City, FL 32055-4703 Ph: (386) 247-6910 |
Dr. Jerzy Tadeusz Polmerski, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 755 Sw State Road 47, Lake City, FL 32025 Phone: 386-755-7788 Fax: 386-752-0410 | |
Dr. Alejandro T Soler, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3140 Nw Medical Center Ln, Suite 120, Lake City, FL 32055 Phone: 386-755-6682 Fax: 386-755-6796 | |
Yi Wang, Surgery Medicare: Medicare Enrolled Practice Location: 2970 W Us Highway 90 Ste 110, Lake City, FL 32055 Phone: 386-247-6915 Fax: 386-247-6915 | |
Dr. Christopher Xzander Staudinger, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3140 Nw Medical Center Ln Ste 140, Lake City, FL 32055 Phone: 386-466-6044 Fax: 386-269-0966 | |
Dr. Mary Ratliff Kedrowski, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3140 Nw Medical Center Ln, Lake City, FL 32055 Phone: 386-755-6682 Fax: 386-755-6796 | |
Mr. Edwin Gonzalez-navedo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3140 Nw Medical Center Ln, Suite 120, Lake City, FL 32055 Phone: 386-755-6682 Fax: 386-755-6796 |