Active NPI
Samuel Vazquez-Milan, PA-C
- Surgical Physician Assistant
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9112274
- Practice address
- 801 Anchor Rode Dr Ste 100
Naples, FL 34103-2742 - Phone
- (239) 263-1717
- Fax
- (239) 403-9410
- NPI assigned
- Jul 5, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9112274 | FL | Primary |
| Surgical Physician Assistant | 363AS0400X | 7928 | GA | |
| Physician Assistant | 363A00000X | PA9112274 | FL |
Addresses
Primary practice location
801 Anchor Rode Dr Ste 100
Naples, FL 34103-2742
Mailing address
801 Anchor Rode Dr Ste 100
Naples, FL 34103-2742
Phone (239) 263-1717
Other practice location 1
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19910 S Tamiami TRL
Suite B
Estero, FL 33928-4140
Phone (239) 263-1717
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000
801 Anchor Rode Dr
Suite 100
Naples, FL 34103-2742
Phone (239) 263-1717
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007928 | GA | MD | Public Health Dentist |
| PA9112274 | FL | MD | Surgical Physician Assistant |
| 7928 | GA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Current | Accepting new patients | |
| Mayo Clinic Jacksonville | Current | Accepting new patients | |
| Mayo Clinic Jacksonville | Current | Accepting new patients | |
| Florida Coastal Surgery Center, Inc | Past | Accepting new patients | |
| Northwest Florida Multispecialty Physicians LLC | Past | Accepting new patients |
Locations
4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Naples, FL
- NPI 1518189927
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1790772317
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- MOHS-Micrographic Surgery Physician
- Venice, FL
- NPI 1689361644
-
- Home Infusion Therapy Pharmacy
- Jacksonville, FL
- NPI 1003510116
-
- Health Service Clinic/Center
- Jacksonville, FL
- NPI 1174143986
-
- Ambulatory Surgical Clinic/Center
- Naples, FL
- NPI 1003812686
-
- Neurological Surgery Physician
- Fort Walton Beach, FL
- NPI 1790912269
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1891782470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1255783114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 ANCHOR RODE DR STE 100",
"city": "NAPLES",
"state": "FL",
"postal_code": "341032742",
"telephone_number": "239-263-1717",
"fax_number": "239-403-9410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 ANCHOR RODE DR STE 100",
"city": "NAPLES",
"state": "FL",
"postal_code": "341032742",
"telephone_number": "239-263-1717",
"fax_number": "239-403-9410"
}
],
"practiceLocations": [
{
"address_1": "4500 San Pablo Rd S",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322241865",
"country_code": "US",
"telephone_number": "904-953-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAZQUEZ-MILAN",
"first_name": "SAMUEL",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-05",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9112274",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "7928",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9112274",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.