Individual
WILBER VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
130 NW 52ND AVE, MIAMI, FL 33126-5014
(786) 362-2093
Mailing address
130 NW 52ND AVE, MIAMI, FL 33126-5014
(786) 362-2093
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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