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Individual

ANTONIO VAZQUEZ

Active
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Individual

ANTONIO VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

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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