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Individual
OMAIDA C VELAZQUEZ
Active
Individual
OMAIDA C VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
MD054213L
PA
2086S0129X
Vascular Surgery Physician
Primary
ME100087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017492560001
—
PA
05
—
2798522-00
—
FL
Enumeration date
06/26/2006
Last updated
01/21/2014
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