Individual
DR. BALMARY VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1770 W 32ND PL, HIALEAH, FL 33012
(305) 885-4477
Mailing address
3464 W 100TH TER, HIALEAH, FL 33018-2103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001795
VA
152W00000X
Optometrist
Primary
OPC 4392
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A00732
EYEMED
FL
Enumeration date
10/13/2008
Last updated
12/19/2018
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