JOSE F. VAZQUEZ DEFILLO (NPI# 1184683922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184683922 |
| Entity Type | Individual |
| Full Name | JOSE F. VAZQUEZ DEFILLO |
| Credential | M.D. |
| Practice Address |
15858 Sw Warfield Blvd Indiantown FL 34956-0648 |
| Mailing Address |
5827 Corporate Way West Palm Beach FL 33407-2000 |
| Practice Telephone | 7725973596 |
| Practice Fax Number | 7725974194 |
| Mailing Telephone | 5618449443 |
| Mailing Fax Number | 5618441013 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME47728 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS PROVIDER # | 57966 | 01 |
| FL | 260509100 | 05 |
| Street Address |
15858 SW WARFIELD BLVD |
| City | INDIANTOWN |
| State | FL |
| Zip Code | 34956-0648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457310559 | Carlos A. Morales | Dentist | 15858 Sw Warfield Blvd, Indiantown, FL 34956-3513 | 2006-03-20 |
| 1497146468 | Gladys Maria Duarte | General Practice | 15858 Sw Warfield Blvd, Indiantown, FL 34956-3513 | 2015-02-12 |
| 1982724001 | Hazel Lizeth Romero | Pediatrics | 15858 Sw Warfield Blvd, Indiantown, FL 34956-3513 | 2007-03-30 |
| 1043241375 | Michael F Gervasi | Family Medicine | 15858 Sw Warfield Blvd, Box 648, Indiantown, FL 34956-0648 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003398454 | Lawrence Anton Feriozzi | Counselor | 15818 Sw Warfield Blvd, Indiantown, FL 34956 | 2018-09-02 |
| 1871087544 | Karen Deborah Smith | Nurse Practitioner | 15208 Sw Palm Oak Dr, Indiantown, FL 34956 | 2018-06-18 |
| 1710130273 | John Pasquale | Occupational Therapist | 15440 Sw Palm Drive, Indiantown, FL 34956 | 2008-10-28 |
| 1477755684 | Susan Darsann Driscoll | Nurse Practitioner | 16407 Sw Farms Road, Indiantown, FL 34956 | 2007-06-01 |
| 1033216494 | Ronald S. Limoli Sr. | Dentist | 15275 S.w. Adams St., Indiantown, FL 34956 | 2006-09-20 |
| 1437128675 | Robert J. Trenschel | Family Medicine | 15858 S.w. Warfield Blvd., Box 457, Indiantown, FL 34956-0457 | 2006-03-17 |
| 1740382829 | Asha K Kornegay | Nurse Practitioner | 15858 Sw Warfield Blvd., Indiantown, FL 34956-0648 | 2006-09-01 |
| 1821057613 | Tammy L. Tuchel | Family Medicine | 15858 S. W. Warfield Blvd., Indiantown, FL 34956-0648 | 2006-03-21 |
| 1205886223 | Florida Community Health Centers Inc | Dentist | 15858 S.w. Warfield Blvd., Indiantown, FL 34956-0648 | 2006-05-11 |
| 1104053248 | Shilpa Tarugu | Internal Medicine | 15516 Sw Osceola St, Indiantown, FL 34956-2818 | 2009-06-16 |
| Find all providers in zip 34956 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982724001 | Hazel Lizeth Romero | Pediatrics | 15858 Sw Warfield Blvd, Indiantown, FL 34956-3513 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1114530664 | Complex Care of Central Florida, LLC | Pediatrics | 508 Sweetwater Club Cir, Longwood, FL 32779-2131 | 2020-08-25 |
| 1073123931 | Topaz Pediatrics, LLC | Pediatrics | 2513 E Semoran Blvd, Apopka, FL 32703-5835 | 2020-08-05 |
| 1255941688 | Doctors Memorial Health Clinic | Pediatrics | 2910 Hospital Dr Ste B, Bonifay, FL 32425-4268 | 2020-07-31 |
| 1508475815 | Baptist Primary Care Inc | Pediatrics | 520 A1a N Ste 102, Ponte Vedra Beach, FL 32082-2260 | 2020-07-23 |
| 1720603129 | Kids' Corner Pediatrics | Pediatrics | 1114 Bell Shoals Road, Brandon, FL 33511-8813 | 2020-06-11 |
| 1245855063 | Pediatric Associates of Tampa Bay, LLC | Pediatrics | 901 E Bloomingdale Ave # 501, Brandon, FL 33511-8118 | 2020-06-09 |
| 1396369187 | Im Sulzbacher Center for The Homeless, Inc | Pediatrics | 5455 Springfield Blvd, Jacksonville, FL 32208-5166 | 2020-06-08 |
| 1255954855 | Step By Step Ppec Corp | Pediatrics | 8300 Nw 177th St, Hialeah, FL 33015-3645 | 2020-05-19 |
| 1932721107 | Dr. B's Kids, Pa | Pediatrics | 215 Nw 138th Ter Ste 100, Newberry, FL 32669-2090 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
| City | INDIANTOWN |
| Zip Code | 34956 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.