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Organization
MIGUEL VASQUEZ MD ANN CARROLL MD A PROF CORP
Active
Organization
MIGUEL VASQUEZ MD ANN CARROLL MD A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL VASQUEZ MD (PRESIDENT)
(831) 728-4595
Entity
Organization
Contact information
Practice address
243 GREEN VALLEY RD, SUITE A, FREEDOM, CA 95019
(831) 728-4595
(831) 728-4598
Mailing address
243 GREEN VALLEY RD, SUITE A, FREEDOM, CA 95019
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G38080
CA
207RC0000X
Cardiovascular Disease Physician
A33076
CA
Other
Enumeration date
12/05/2006
Last updated
09/11/2025
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