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Organization

CARLOS A VIZCARRA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLOS ANDRES VIZCARRA M.D. (PRESIDENT)
(772) 589-9188
Entity
Organization

Contact information

Practice address
13837 US HIGHWAY 1, SEBASTIAN, FL 32958-3232
(772) 589-9188
(772) 589-9187
Mailing address
3897 PEACOCK DR, MELBOURNE, FL 32904-9516
(321) 373-1160

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 931719
FL

Other

Enumeration date
10/12/2006
Last updated
08/22/2020
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