Individual
FARA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6586
Mailing address
4325 SW 95TH AVE, MIAMI, FL 33165-5245
(305) 389-1831
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9246098
FL
Other
Enumeration date
01/29/2014
Last updated
01/11/2020
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