Individual
RICARDO VAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
701 E 3RD AVE UNIT 6, NEW SMYRNA BEACH, FL 32169-3104
(386) 597-3992
Mailing address
4505 DORIS DR, NEW SMYRNA BEACH, FL 32169-4103
(386) 597-3992
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
27805
FL
Other
Enumeration date
08/14/2017
Last updated
08/24/2021
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