Individual
MARIO SERGIO VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7744 NW 194TH ST, HIALEAH, FL 33015-6349
(305) 607-2371
Mailing address
7744 NW 194TH ST, HIALEAH, FL 33015-6349
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9535387
FL
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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