Dr. Luis J Vazquez , MD
General Practice • Bartow, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Luis Vazquez has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Luis Vazquez, MD was a registered General Practice practicing in Bartow, FL. Throughout an active medical career spanning 17 years, Dr. Vazquez provided care at the practice location at 2120 MARSHALL EDWARDS DR until profile deactivation on 2024-01-31.
Practice Location & Contact Primary Location
2120 Marshall Edwards Dr
Bartow, FL 338306731
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Bartow, FL
Practicing in Bartow, FL (2490 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physical Therapy Assistant
Physical Therapy Assistant
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 31, 2024
NPI status registered as active in NPPES database
Registered at 2120 MARSHALL EDWARDS DR, BARTOW, FL 338306731 (Tel: 8635197579)
Registered at 6664 CHADRON CT, LAKELAND, FL 338133711 (Tel: 8636489609)
Recorded as LUIS VAZQUEZ, M.D.
General Practice (License #ME0021040 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
6664 Chadron Ct
Lakeland, FL 338133711
Phone: 8636489609
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