Individual
MR. RICARDO JOSE VEZGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13480 SW 248TH ST # 4, HOMESTEAD, FL 33032-5642
(305) 801-5473
Mailing address
13480 SW 248TH ST # 4, HOMESTEAD, FL 33032-5642
(305) 801-5473
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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