| Doctor Name: | LUIS C VAZQUEZ-ALVARADO |
| NPI Number: | 1275565053 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ACN167 |
| Business Practice Address: | 2475 Garrison Ave Port St Joe, FL - 324565265 |
| Business Phone Number: | 8502271276 |
| Business Fax Number: | |
| Mailing Address: | 2466 Lakeshore Cir, PORT CHARLOTTE |
| State: | FL |
| Postal Code: | 339524118 |
| Phone Number: | 9416246240 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ACN167 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |