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1609853225
JORGE L ACEVEDO VAZQUEZ
TAMPA, FL
NPI
1609853225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: FL ACN651)
Enumeration Date
2005-12-23
Last Update Date
2023-09-27
Business Address
JORGE L ACEVEDO VAZQUEZ
4160 N ARMENIA AVE STE A
TAMPA, FL 33607-6453
Phone number: 855-226-6633
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Mailing Address
JORGE L ACEVEDO VAZQUEZ
7630 SOUTHERN BROOK BND APT 205
TAMPA, FL 33635-1824
Phone number: 787-667-0988
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