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Individual

LESTER TRASTOY VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SA-C

Contact information

Practice address
8400 SW 8TH ST, MIAMI, FL 33144-4153
(305) 501-5020
Mailing address
13941 SW 39TH ST, MIAMI, FL 33175-6422
(305) 773-5717

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
76178
NM
246ZC0007X
Surgical Assistant
12-197
FL

Other

Enumeration date
01/20/2017
Last updated
10/27/2023
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