Organization
C & M PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN M VELAZQUEZ MD (OWNER)
(718) 600-2358
Entity
Organization
Contact information
Practice address
7532 SW 122ND CT, MIAMI, FL 33183-3634
(718) 600-2358
(786) 431-5880
Mailing address
7532 SW 122ND CT, MIAMI, FL 33183-3634
(718) 600-2358
(786) 431-5880
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VELA0774
COMM INSURANCES
FL
Enumeration date
07/02/2013
Last updated
07/02/2013
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