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Individual
VANESSA VIZCAINO
Active
Individual
VANESSA VIZCAINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME87499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
296260
AVMED
—
01
—
3622791
AETNA
—
01
—
48656
BCBS
—
01
—
SG075997
VISTA
—
Enumeration date
04/05/2006
Last updated
11/28/2007
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