Individual
MIGUEL ANGEL VASALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8650 SW 109TH AVE APT 201, MIAMI, FL 33173-4468
(305) 333-0172
(305) 412-0499
Mailing address
8650 SW 109TH AVE APT 201, MIAMI, FL 33173-4468
(305) 333-0172
(305) 412-0499
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9174448
FL
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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