Enrique Xavier Vaca, PA-C
NPI #1104310267 in Clearwater, Florida
Provider Information
- NPI Number
- 1104310267
- Entity Type
- Individual
- Name
- Enrique Xavier Vaca, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 21, 2018
- Last Updated
- Sep 24, 2025
Practice Location
- Address
- 525 S HERCULES AVE STE 102
- City
- Clearwater
- State
- Florida
- ZIP Code
- 33764-6320
- Phone
- (727) 442-6068
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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