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Individual

GABRIEL VAZQUEZ-LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-6611
Mailing address
6812 CASTILLO CT, ORLANDO, FL 32822-3920
(787) 361-6776

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
9483758
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11005724
FL

Other

Enumeration date
05/31/2019
Last updated
02/20/2020
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