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Alexis Augustine Vazquez, DO
Pulmonary Disease Physician in Jacksonville Beach, Florida
NPI 1518909167

Alexis Augustine Vazquez is a Pulmonary Disease Physician based in Jacksonville Beach, FL and is specialized in Pulmonary Disease. Alexis Augustine Vazquez practices in Jacksonville Beach, FL and has the professional credentials of DO. The NPI Number for Alexis Augustine Vazquez is 1518909167 and holds a License No. OS9778 (Florida).

The current practice location address for Alexis Augustine Vazquez is 1361 13Th Ave S Ste 245, Jacksonville Beach, FL and can be reached out via phone at 904-493-7174 and via fax at 904-694-0696.

Location: 1361 13Th Ave S Ste 245, Jacksonville Beach, FL, 32250-3238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518909167
Provider Name
Alexis Augustine Vazquez
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1361 13Th Ave S Ste 245, Jacksonville Beach, FL, 32250-3238
Phone Number
904-493-7174
Fax Number
904-694-0696
Provider Enumeration Date
06/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
U7983T 01 FL MEDICARE - INDIVIDUAL
OS9778 01 FL MEDICAL LICENSE
0098365-00 01 FL FL MEDICAID - GROUP
P01189293 01 RAILROAD MEDICARE
004E6 01 FL FLORIDA BLUE/BCBS - GROUP
DT8174 01 FL RR MCR - GROUP
302411 01 FL AVMED
2757133-00 05 FL
53029 01 FL FLORIDA BLUE/BCBS - INDIVIDUAL
GR172A 01 FL MEDICARE - GROUP
institution
Provider Business Practice Location Address Details
Address
1361 13Th Ave S Ste 245
City
Jacksonville Beach
State
Florida
Zip
32250
Phone Number
904-493-7174
Fax Number
904-694-0696
person
Provider Business Mailing Address Details
Address
1361 13Th Ave S Ste 245
City
Jacksonville Beach
State
Florida
Zip
32250
Phone Number
904-493-7174
Fax Number
904-694-0696
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
OS9778 (Florida)
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
OS9778 (Florida)
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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