GUILLERMO VAZQUEZ M.D. PA
Urology at 49 Pl, Hialeah, FL

License number
Florida 042997
Category
Radiology
Type
Urology
Owner
Name: DR. GUILLERMO VAZQUEZ M.D.
Title: PRESIDENT
Phone: (305) 557-5355
Address
Address 2
1435 W 49Th Pl SUITE 206, Hialeah, FL 33012
PO Box 832587, Miami, FL 33283
National Provider ID: 1255636106
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GUILLERMO VAZQUEZ, M.D., PA

Hialeah, FL  -  Miami, FL

Registration:
Sep 9, 2002
Addresses:
1435 W 49 Pl SUITE 206, Hialeah, FL 33012 (Physical)
7000 SW 97 Ave, Miami, FL 33173
State ID:
P02000097208
Business type:
Florida Profit Corporation
President, Treasurer, Secretary:
Guillermo M.d. Vazquez (President, Treasurer, Secretary), 1435 W 49 Pl SUITE 206, Hialeah, FL 33012 (Physical)
Agent:
Vazquez, Guillermo,1435 W 49 Pl SUITE 206, Hialeah, FL 33012 (Physical)
EIN:
52-2376461

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