Individual
CARLOS JOEL VASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3663 S MIAMI AVE STE 500, MIAMI, FL 33133-4253
(786) 428-1059
(786) 428-1062
Mailing address
7369 NW 174TH TER APT 100, HIALEAH, FL 33015-1141
(786) 378-2097
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11029301
FL
Other
Enumeration date
10/26/2023
Last updated
12/21/2023
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