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1962470054
MAT M VASQUEZ
JACKSONVILLE, FL
NPI
1962470054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME88063)
Enumeration Date
2006-03-14
Last Update Date
2019-01-02
Business Address
MAT M VASQUEZ MD
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207-8205
Phone number: 904-348-0974
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Mailing Address
MAT M VASQUEZ MD
PO BOX 45443
SALT LAKE CITY, UT 84145-0443
Phone number: 904-202-1032
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