Individual ProviderJolissa Marie VasquezCounselorBehavioral Health & Social Service ProvidersPractice Address1067 E Brandon Blvd, Brandon, FL 33511-5515(813) 548-1166PECOS EnrollmentBased on the most recent information from CMS, provider Jolissa Marie Vasquez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:06 AM.Profile DetailsProvider ID1477207082Provider TypeIndividualFull NameVasquez, Jolissa MarieGenderFemaleSole ProprietorYesEnumeration Date2/11/2022Last Updated2/11/2022Contact InformationPractice LocationPractice Address1067 E Brandon Blvd, Brandon, FL 33511-5515Phone(813) 548-1166FaxUnlisted FaxMailing LocationMailing Address7830 NW 179th St, Hialeah, FL 33015-2849PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer