Individual
JORGE L. VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 SANTA CRUZ LN, HOWEY IN THE HILLS, FL 34737-3120
(407) 744-7864
Mailing address
703 SANTA CRUZ LN, HOWEY IN THE HILLS, FL 34737-3120
(407) 744-7864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
31317
PR
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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