Provider Demographics
NPI:1629305537
Name:VAZ, SANDRA YVETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:YVETTE
Last Name:VAZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1801 LEE RD STE 165
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2127
Mailing Address - Country:US
Mailing Address - Phone:407-975-0410
Mailing Address - Fax:407-975-0411
Practice Address - Street 1:601 E ROLLINS ST
Practice Address - Street 2:FLORIDA HOSPITAL PEDIATRIC INTENSIVISTS
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1248
Practice Address - Country:US
Practice Address - Phone:407-975-0410
Practice Address - Fax:407-975-0411
Is Sole Proprietor?:No
Enumeration Date:2009-11-13
Last Update Date:2016-03-09
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Provider Licenses
StateLicense IDTaxonomies
NY2497042080P0203X
FLME1112482080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine