Organization
FERNANDO J VELASQUEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO JOSE VELASQUEZ MD (PHYSICIAN)
(813) 879-1985
Entity
Organization
Contact information
Practice address
2906 WEST TAMPA BAY BOULEVARD, TAMPA, FL 33607-1233
(813) 879-1985
(813) 876-0336
Mailing address
2906 WEST TAMPA BAY BLVD, TAMPA, FL 33607-1233
(813) 879-1985
(813) 876-0336
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME39936
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77331
BCBS
FL
Enumeration date
11/14/2006
Last updated
08/22/2020
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