| Francisco M. Vazquez, M.d., P.a. | |
|
4595 Palm Beach Blvd Suite 1 Fort Myers FL 33905-3400 | |
| (239) 694-0533 | |
| (239) 694-1507 |
| Full Name | Francisco M. Vazquez, M.d., P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4595 Palm Beach Blvd, Fort Myers, Florida |
| Authorized Official Name and Position | Francisco Maximo Vazquez (DIRECTOR) |
| Authorized Official Contact | 2396940533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Francisco M. Vazquez, M.d., P.a. 4595 Palm Beach Blvd Suite 1 Fort Myers FL 33905-3400 Ph: (239) 694-0533 | Francisco M. Vazquez, M.d., P.a. 4595 Palm Beach Blvd Suite 1 Fort Myers FL 33905-3400 Ph: (239) 694-0533 |
| NPI Number | 1578873634 |
|---|---|
| Provider Enumeration Date | 10/07/2010 |
| Last Update Date | 10/07/2010 |
| Medicare PECOS PAC ID | 9436328754 |
|---|---|
| Medicare Enrollment ID | O20110803000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578873634 | NPI | - | NPPES |
| 265899200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME68742 (Florida) | Primary |
| Provider Name | Francisco Maximo Vazquez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649385790 PECOS PAC ID: 1254500572 Enrollment ID: I20110823000056 |
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