Individual
ISA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1930 NE 47TH ST STE 300, FORT LAUDERDALE, FL 33308-7729
(954) 493-5393
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, STE. 501, HUNT VALLEY, MD 21031-2358
(703) 914-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9370209
FL
Other
Enumeration date
08/20/2018
Last updated
01/28/2022
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