Individual
EDUARDO JOSE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12905 SW 42ND ST STE 213, MIAMI, FL 33175-2912
(786) 507-8830
(786) 294-6802
Mailing address
12905 SW 42ND ST STE 213, MIAMI, FL 33175-2912
(786) 507-8830
(786) 294-6802
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
115155
FL
207RP1001X
Pulmonary Disease Physician
23545
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115155
STATE LICENSE
FL
01
—
23545
STATE LICENSE
NE
Enumeration date
06/15/2006
Last updated
02/19/2019
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