Individual
MISS ANISLEISYS VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2964 N STATE ROAD 7 STE 110, MARGATE, FL 33063-5715
(954) 975-3102
(954) 973-1882
Mailing address
2964 N STATE ROAD 7 STE 110, MARGATE, FL 33063-5715
(786) 624-8377
(954) 973-1882
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112853
FL
Other
Enumeration date
01/02/2020
Last updated
01/18/2022
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