Individual
MAGDA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2421 SW 6TH AVE, FORT LAUDERDALE, FL 33315-2613
(954) 467-4822
Mailing address
780 SW 24TH ST, MEDICAL ADMINISTRATION, FORT LAUDERDALE, FL 33315-2643
(954) 467-4822
(954) 760-7798
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ACN88
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371064500
—
FL
Enumeration date
10/04/2006
Last updated
07/09/2007
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