institution
Lisette Vazquez Do Pa
Primary Care Clinic/Center in Homestead, Florida
NPI 1619016185

Lisette Vazquez Do Pa is a Primary Care Clinic/Center based in Miami, FL and is specialized in Primary Care. Lisette Vazquez Do Pa practices in Homestead, FL. The NPI Number for Lisette Vazquez Do Pa is 1619016185 and holds a License No. OS9315 (Florida).

The current practice location address for Lisette Vazquez Do Pa is 909 N Krome Ave, Homestead, FL and can be reached out via phone at 786-243-4100 and via fax at 786-243-4111.

Location: 909 N Krome Ave, Homestead, FL, 33134-1019
institution
Provider Profile Details
NPI Number
1619016185
Provider Name
Lisette Vazquez Do Pa
Credential
Provider Entity Type
Organization
Address
909 N Krome Ave, Homestead, FL, 33134-1019
Phone Number
786-243-4100
Fax Number
786-243-4111
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7617825 01 FL AETNA
48582 01 FL BCBS
170465 01 FL HUMANA
304927 01 FL AVMED
57338 01 FL NHP
institution
Provider Business Practice Location Address Details
Address
909 N Krome Ave
City
State
Zip
33030-4408
Phone Number
786-243-4100
Fax Number
786-243-4111
person
Provider Business Mailing Address Details
Address
909 N Krome Ave
City
State
Zip
33030-4408
Phone Number
786-243-4100
Fax Number
786-243-4111
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
OS9315 (Florida)
Definition
Definition to come...
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