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Individual

KIMBER VASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
950 COUNTY ROAD 17A W, AVON PARK, FL 33825-2164
(863) 452-3000
(863) 452-3077
Mailing address
950 COUNTY ROAD 17A W, AVON PARK, FL 33825-2164
(863) 452-3000
(863) 452-3069

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN293
FL

Other

Enumeration date
07/02/2009
Last updated
07/02/2009
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