Individual
DEANNA RENEE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
142 W LAKEVIEW AVE, LAKE MARY, FL 32746-2908
(407) 915-6570
Mailing address
561 MERRY BROOK CIR, SANFORD, FL 32771-0142
(407) 257-0351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9353015
FL
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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