| Doctor Name: | DAIMIS VAZQUEZ ROSABAL |
| NPI Number: | 1124422522 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | ACN676 |
| Business Practice Address: | 4767 Nw 183rd St Miami Gardens, FL - 330552933 |
| Business Phone Number: | 7863433552 |
| Business Fax Number: | |
| Mailing Address: | 9233 Emerson Ave, SURFSIDE |
| State: | FL |
| Postal Code: | 331543033 |
| Phone Number: | 7863433552 |
| Fax Number: | |
| NPI Enumeration Date: | 10/14/2014 |
| NPI Last Update Date: | 07/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ACN676 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |