Mr. Carlos D Amy Vazquez, MD
General Practice in Interlachen, Florida
1417902685- Practice location
- 1213 State Road 20, Interlachen, FL 32148-2737
- Phone
- 386-684-4914
- Fax
- 386-684-6524
- Last updated
- March 22, 2022
Carlos D Amy Vazquez is a General Practice based in Interlachen, FL. Carlos D Amy Vazquez practices in Interlachen, FL and has the professional credentials of MD. The NPI Number for Carlos D Amy Vazquez is 1417902685 and holds a License No. 15813 (PR). The current practice location address for Carlos D Amy Vazquez is 1213 State Road 20, Interlachen, FL 32148-2737 and can be reached out via phone at 386-684-4914 and via fax at 386-684-6524.
Provider Profile Details
- NPI Number
- 1417902685
- Provider Name
- Carlos D Amy Vazquez
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1213 State Road 20, Interlachen, FL 32148-2737
- Phone Number
- 386-684-4914
- Fax Number
- 386-684-6524
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 24, 2006
- Last Update Date
- March 22, 2022
- Certification Date
- March 22, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1213 State Road 20
Interlachen, FL 32148-2737 - City
- Interlachen
- State
- Florida
- Zip
- 32148-2737
- Phone Number
- 386-684-4914
- Fax Number
- 386-684-6524
Provider Business Mailing Address Details
- Address
- 1302 River St
Palatka, FL 32177-5042 - City
- Palatka
- State
- FL
- Zip
- 32177-5042
- Phone Number
- 386-328-0108
- Fax Number
- 386-325-1086
License Information
- License Number (1)
- 15813
- License State (1)
- PR
- Taxonomy (1)
- General Practice · 208D00000X
- License Number (2)
- ACN1030
- License State (2)
- FL
- Taxonomy (2)
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other General Practice providers near Interlachen, FL
View all General Practice providers in Interlachen →Frequently Asked Questions
What is the NPI number of Mr. Carlos D Amy Vazquez, MD?
The NPI number of Mr. Carlos D Amy Vazquez, MD is 1417902685. It was assigned on May 24, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Carlos D Amy Vazquez, MD?
Mr. Carlos D Amy Vazquez, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 15813.
Where does Mr. Carlos D Amy Vazquez, MD practice?
The practice location is 1213 State Road 20, Interlachen, FL 32148-2737. The office can be reached at 386-684-4914 (phone) or 386-684-6524 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417902685 directly on the NPPES registry website.