Individual
ZORAIDA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
602 VONDERBURG DR STE 201, BRANDON, FL 33511-5900
(352) 575-6471
Mailing address
602 VONDERBURG DR STE 201, BRANDON, FL 33511-5900
(813) 653-1149
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
04/27/2018
Last updated
01/25/2024
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