Doctor Name: | FRANCISCO MAXIMO VAZQUEZ |
NPI Number: | 1649385790 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME68742 |
Business Practice Address: | 4595 Palm Beach Blvd Suite 1 Fort Myers, FL - 339053400 |
Business Phone Number: | 2396940533 |
Business Fax Number: | 2396941507 |
Mailing Address: | 4595 Palm Beach Blvd, Suite 1 FORT MYERS |
State: | FL |
Postal Code: | 339053400 |
Phone Number: | 2396940533 |
Fax Number: | 2396941507 |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 12/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME68742 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |