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Individual

DR. HENRY VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
8100 CORAL WAY, MIAMI, FL 33155-1227
(305) 265-7676
Mailing address
8100 SW 24TH STREET, MIAMI, FL 33155

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3838
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
K5064
FL
Enumeration date
09/05/2006
Last updated
07/08/2007
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