# MAXIMILIANO VELASCO MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548647894
- **Authorized official:** MAXIMILIANO VELASCO MD (PRESIDENT)
- **Authorized official phone:** (954) 658-0923

## Contact information

- **Practice address:** 925 NE 30TH TER, SUITE \# 206, HOMESTEAD, FL 33033-7613
- **Practice address phone:** (954) 658-0923
- **Mailing address:** 925 NE 30TH TER, SUITE \# 206, HOMESTEAD, FL 33033-7613
- **Mailing address phone:** (954) 658-0923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2015
- **Last updated:** 05/06/2015