Individual
ADIN MATTHEW MORA VELAZQUEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2302 S JEFFERSON HWY, MONTICELLO, FL 32344-5102
(808) 315-3031
Mailing address
2302 S JEFFERSON HWY, MONTICELLO, FL 32344-5102
(808) 315-3031
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/27/2020
Last updated
06/27/2020
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