Provider Demographics
NPI:1407926694
Name:NORBERTO VAZQUEZ, M.D. P.A.
Entity Type:Organization
Organization Name:NORBERTO VAZQUEZ, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSCIAN
Authorized Official - Prefix:
Authorized Official - First Name:NORBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-655-0356
Mailing Address - Street 1:1411 N FLAGLER DR
Mailing Address - Street 2:SUITE 4600
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3404
Mailing Address - Country:US
Mailing Address - Phone:561-655-0356
Mailing Address - Fax:561-659-0492
Practice Address - Street 1:1411 N FLAGLER DR
Practice Address - Street 2:SUITE 4600
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3404
Practice Address - Country:US
Practice Address - Phone:561-655-0356
Practice Address - Fax:561-659-0492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDB4587OtherMEDICARE RAILROAD
FLK4222Medicare ID - Type UnspecifiedGROUP NUMBER