Individual
EDUARDO MANUEL VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4031 UPPER CREEK DR, SUN CITY CENTER, FL 33573-6819
(813) 633-2733
Mailing address
4031 UPPER CREEK DR, SUN CITY CENTER, FL 33573-6819
(813) 633-2733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292832900
—
FL
Enumeration date
06/21/2006
Last updated
11/01/2011
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