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Individual

MARLON ALVARO VAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9685 LAKE NONA VILLAGE PL STE 103, ORLANDO, FL 32827-7321
(407) 557-8160
(407) 557-8159
Mailing address
1400 E OAKLAND PARK BLVD STE 210, OAKLAND PARK, FL 33334-4400
(954) 561-6222
(954) 990-7650

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME115139
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME115139
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104489400
FL
Enumeration date
07/11/2007
Last updated
09/28/2023
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