Individual
RANDY VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8100 OAK LN STE 4048100, MIAMI LAKES, FL 33016-5820
(305) 952-3125
Mailing address
1055 W 68TH ST APT 109, HIALEAH, FL 33014-5123
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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