Individual
HUGO VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13927 BRIARDALE LN, TAMPA, FL 33618-2115
(813) 474-2489
Mailing address
13927 BRIARDALE LN, TAMPA, FL 33618-2115
(813) 474-2489
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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