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Individual

DR. JOSE EMILIO VASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
214 MORRISON RD, SUITE 104, BRANDON, FL 33511-4849
(813) 681-6474
(813) 654-8473
Mailing address
214 MORRISON RD, SUITE 104, BRANDON, FL 33511-4849
(813) 681-6474
(813) 654-8473

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME77683
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
258889700
FL
Enumeration date
06/14/2006
Last updated
10/08/2012
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