1205351905 NPI number — DIGNA EMERITA SANCHEZ DE VASQUEZ MD

Table of content: DIGNA EMERITA SANCHEZ DE VASQUEZ MD (NPI 1205351905)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205351905 NPI number — DIGNA EMERITA SANCHEZ DE VASQUEZ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SANCHEZ DE VASQUEZ
Provider First Name:
DIGNA
Provider Middle Name:
EMERITA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205351905
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/26/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
601 S HARBOUR ISLAND BLVD STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33602-5925
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-322-3439
Provider Business Mailing Address Fax Number:
800-928-7449

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17136 SE 109TH TERRACE RD STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUMMERFIELD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34491-9031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-247-4001
Provider Business Practice Location Address Fax Number:
352-247-4007
Provider Enumeration Date:
08/03/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X , with the licence number:  ACN1701 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com