Individual
CARLOS HERNANDEZ VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9250 NW 36TH ST STE 420, DORAL, FL 33178-2775
(305) 266-2929
Mailing address
9250 NW 36TH ST STE 410, DORAL, FL 33178-2775
(786) 498-2822
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9509518
FL
Other
Enumeration date
01/07/2020
Last updated
05/02/2023
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