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Individual

RICHARD VAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
521 W STATE ROAD 434, LONGWOOD, FL 32750-4984
(407) 423-1039
Mailing address
188 HEATHER LANE DR, DELTONA, FL 32738-2224
(386) 215-4436

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
01/23/2025
Last updated
01/23/2025
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