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Individual

SAMARA VAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAA

Contact information

Practice address
1525 W CYPRESS CREEK RD, FORT LAUDERDALE, FL 33309-1831
(800) 437-2672
Mailing address
28501 SW 152ND AVE LOT 236, HOMESTEAD, FL 33033-1441
(305) 528-9649

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA743
FL

Other

Enumeration date
09/12/2022
Last updated
09/12/2022
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