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Anthony J Vaz

  • Male

Medical Specialty

Professional ID

  • NPI: 1417922469
  • PECOS ID: 1759318215
  • Enrollment ID: I20101222000864
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 1967

Hospital Service

  • Hospital CCN1: 110025
  • Business Name (LBN)1: Southeast Georgia Health System- Brunswick Campus
  • Hospital CCN2: 110146
  • Business Name (LBN)2: Southeast Georgia Health System- Camden Campus

Medical Practices

  • Organization Name: Family Care Partners Of Northeast Florida Llc
  • Group Practice ID assigned by PECOS: 7214832245
  • Number of Group Practice member: 46

Location

  • Address1: 1215 Dunn Ave
  • Address2:
  • City: Jacksonville
  • State: Florida
  • Zip Code: 32218
  • Phone Number: (904)757-1998

Medical Practices

  • Organization Name: Cooperative Healthcare Services, Inc.
  • Group Practice ID assigned by PECOS: 9830093640
  • Number of Group Practice member: 153

Location

  • Address1: 2415 Parkwood Dr
  • Address2:
  • City: Brunswick
  • State: Georgia
  • Zip Code: 31520
  • Phone Number: (912)466-4079

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):