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Individual
LUIS DANIEL VELAZCO DAVILA
Active
Individual
LUIS DANIEL VELAZCO DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
153907
FL
390200000X
Student in an Organized Health Care Education/Training Program
11015598A
IN
Other
Enumeration date
06/29/2010
Last updated
03/24/2023
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