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Individual

MILAGROS M FERNANDEZ VAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1920 DON WICKHAM DR STE 115, CLERMONT, FL 34711-1977
(352) 536-8761
(321) 842-8290
Mailing address
1920 DON WICKHAM DR STE 115, CLERMONT, FL 34711-1977
(352) 536-8761
(321) 842-8290

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
12405
PR
208600000X
Surgery Physician
Primary
ME134658
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111175500
FL
Enumeration date
09/15/2009
Last updated
09/03/2024
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