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NPI Code Detail

MEDICARE: ARLENY MARTINEZ VAZQUEZ

MEDICARE:   ARLENY  MARTINEZ VAZQUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner11019473FL

General Provider Information

NPI Number : 1235863788
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARLENY MARTINEZ VAZQUEZ
Provider Business Mailing Address
First Line : 1630 FOREST LAKES CIR APT B
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-5783
Country : US
Telephone Number : 305-342-9089
Fax Number :
Provider Business Practice Location Address
First Line : 6803 LAKE WORTH RD
Second Line :
City : GREENACRES
State : FL
Zip : 33467-2979
Country : US
Telephone Number : 561-766-2181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2022
Last Update Date : 07/11/2022

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Directions to “ ARLENY MARTINEZ VAZQUEZ ” Practice Location

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