Nadia Vazquez, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NADIA VAZQUEZ, LLC

Practice address

4901 Palm Beach Blvd Unit 400
Fort Myers, FL 33905-3235

Phone

(239) 237-2133

Fax

(239) 270-5107

NPI assigned

Feb 14, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nadia Vazquez, APRN

Title

President

Phone

(602) 849-0089

Specialties & licenses 1

Addresses

Other names 1

• CLINICA DEL SOL Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1689267346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 PALM BEACH BLVD UNIT 400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339053235",
            "telephone_number": "602-849-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 PALM BEACH BLVD UNIT 400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339053235",
            "telephone_number": "239-237-2133",
            "fax_number": "239-270-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADIA VAZQUEZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-14",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-849-0089",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA DEL SOL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLINICA DEL SOL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dmitry Mysh, MD
• Mystical Medical Transport LLC
• Maryam D Nabavi, M.D.
• Lahoma J Nachtrab, CRNA
• Adam Curtis Nader, M.D.
• Emily Joy Naftali, PA-C
• Viswanathan Nagarajan, MD
• Sherry L Nagle, APRN
• Gopichand Naguboyina, M.D
• Sagar Naik, M.D

• Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.