Individual
ANTONIO VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(305) 585-8508
Mailing address
3267 SW 1ST ST, MIAMI, FL 33135-1150
(786) 554-4945
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11004799
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
11004799
FL
Other
Enumeration date
10/26/2019
Last updated
12/31/2019
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