| Mr Carlos D Amy Vazquez, MD | |
|
1213 State Road 20, Interlachen, FL 32148-2737 | |
| (386) 684-4914 | |
| (386) 684-6524 |
| Full Name | Mr Carlos D Amy Vazquez |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 24 Years |
| Location | 1213 State Road 20, Interlachen, Florida |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417902685 | NPI | - | NPPES |
| 15813 | Other | PR | MEDICAL LICENSE |
| ACN1030 | Other | FL | FLORIDA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 15813 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN1030 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Home Health Care Inc | Keystone heights, FL | Home health agency |
| Putnam Community Medical Center | Palatka, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rural Health Care Incorporated | 7214849520 | 29 |
| Rural Health Care Incorporated | 7214849520 | 29 |
| Lake Area Physical Therapy Inc. | 3678604840 | 374 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Carlos D Amy Vazquez, MD 1302 River St, Palatka, FL 32177-5042 Ph: (386) 328-0108 | Mr Carlos D Amy Vazquez, MD 1213 State Road 20, Interlachen, FL 32148-2737 Ph: (386) 684-4914 |
Zulma Lopez Rivera, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1114 Sr 20, Ste 100, Interlachen, FL 32148 Phone: 386-684-0195 Fax: 386-684-0229 |