| Vazcare Pllc | |
|
19105 N Us Highway 41 Ste 300 Lutz FL 33549-4206 | |
| (787) 421-8330 | |
| (833) 330-3042 |
| Full Name | Vazcare Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19105 N Us Highway 41 Ste 300, Lutz, Florida |
| Authorized Official Name and Position | Yared Vazquez (PHYSICIAN) |
| Authorized Official Contact | 7874218330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vazcare Pllc 20212 Natures Spirit Dr # 2712 Tampa FL 33647-3582 Ph: (787) 421-8330 | Vazcare Pllc 19105 N Us Highway 41 Ste 300 Lutz FL 33549-4206 Ph: (787) 421-8330 |
| NPI Number | 1710680699 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 02/13/2025 |
| Certification Date | 02/13/2025 |
| Medicare PECOS PAC ID | 8224574140 |
|---|---|
| Medicare Enrollment ID | O20240726001699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710680699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Yared Vazquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912202599 PECOS PAC ID: 7911137716 Enrollment ID: I20180220001626 |
| Provider Name | Patricia Hernandez Poudevida |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740420405 PECOS PAC ID: 0840644902 Enrollment ID: I20230925000836 |
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