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Individual

KEVIN RYAN VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2517 NE 10TH CT, HOMESTEAD, FL 33033-4719
(305) 242-0996
Mailing address
12715 SW 112TH TER, MIAMI, FL 33186-4720
(786) 763-5958

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7029
FL

Other

Enumeration date
07/10/2026
Last updated
07/10/2026
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