MAURICIO VAZQUEZ PA-C NPI 1629845128

NPI Information

  • NPI: 1629845128
  • Provider Name: MAURICIO VAZQUEZ, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3627 UNIVERSITY BLVD S STE 135
    JACKSONVILLE, FL
    ZIP 32216
  • Phone: (904) 398-8147

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NPI Details

Mauricio Vazquez, PA-C is a surgical physician assistant in Jacksonville, FL with 2 years of experience. Mauricio Vazquez, PA-C NPI is 1629845128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3627 UNIVERSITY BLVD S STE 135
JACKSONVILLE, FL
ZIP 32216-231
Phone: (904) 398-8147
Fax: (904) 400-6674

The NPI 1629845128 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2023 and was last updated on 3/31/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA9118615FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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