Mat M Vasquez in Jacksonville - Internal Medicine

Mat M Vasquez - NPI 1962470054

Mat M Vasquez is a Internal Medicine in Jacksonville, Florida. Mat M Vasquez practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mat M Vasquez is 1962470054. The last update date is 2019-01-02.

Mat M Vasquez's current location address is 820 Prudential Dr Ste 304, Jacksonville, Florida. You can contact this provider via phone number 9043480974 and fax number 9043485627. The mailing address for Mat M Vasquez is 820 Prudential Dr Ste 304, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mat M Vasquez
Address 820 Prudential Dr Ste 304, Jacksonville, Florida
Phone Number 9043480974
Fax Number 9043485627
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1962470054
Provider Enumeration Date 2006-03-14
Last Updated Date 2019-01-02

Provider Mailing Address Detail

Address 820 Prudential Dr Ste 304
City Jacksonville
State Florida (FL)
Post Code 322078205
Phone Number 9043480974
Fax Number 9043485627

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No ME88063
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
900386969A GA --
2675307-00 FL --

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FAQs about Mat M Vasquez

What is the unique 10-digit identification code issued to Mat M Vasquez by the Centers for Medicare & Medicaid Services?

The Mat M Vasquez has been assigned the NPI (National Provider Identifier) 1962470054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Mat M Vasquez is located?

The Mat M Vasquez is situated at the following address: 820 Prudential Dr Ste 304, Jacksonville, FL, 322078205.

What is the Mat M Vasquez's specialty and taxonomy code?

The Mat M Vasquez's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1962470054 to Mat M Vasquez?

The Centers for Medicare & Medicaid Services assigned the 1962470054 to Mat M Vasquez on 2006-03-14.

When was the information regarding Mat M Vasquez most recently updated?

The details pertaining to the Mat M Vasquez, including its address, specialty, and other relevant information, were last refreshed on 2019-01-02.

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