Provider Demographics
NPI:1013357342
Name:VAZQUEZ, MELINDA CHRISTINE (ARNP-C)
Entity type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:CHRISTINE
Last Name:VAZQUEZ
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512 TINA LN
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-5024
Mailing Address - Country:US
Mailing Address - Phone:321-746-6132
Mailing Address - Fax:
Practice Address - Street 1:410 CELEBRATION PL STE 300
Practice Address - Street 2:
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5434
Practice Address - Country:US
Practice Address - Phone:407-303-4886
Practice Address - Fax:407-894-7032
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9264866363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily