Individual
MRS. CANDICE HARDEE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3003 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 397-1251
(813) 443-8136
Mailing address
3003 W DR MLK BLVD FL JR2, TAMPA, FL 33607-6307
(813) 397-1251
(813) 443-8136
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9336256
FL
363LA2200X
Adult Health Nurse Practitioner
APRN9336256
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024751500
—
FL
Enumeration date
04/12/2018
Last updated
06/22/2023
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