Individual
DR. VICTOR VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1065 NE 125TH ST STE 206, NORTH MIAMI, FL 33161-5832
(888) 852-6672
(305) 891-4228
Mailing address
1065 NE 125TH ST STE 409, NORTH MIAMI, FL 33161-5834
(888) 852-6672
(305) 891-4228
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10158
FL
2084P0800X
Psychiatry Physician
201972
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000256700
—
FL
05
—
00246075
—
NY
Enumeration date
11/01/2006
Last updated
01/14/2014
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