Individual
JORGE FRANCISCO PEREZVELASCO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1312 W FLETCHER AVE, TAMPA, FL 33612-3330
(813) 908-0153
(813) 963-5071
Mailing address
1312 W FLETCHER AVE, TAMPA, FL 33612-3330
(813) 908-0153
(813) 963-5071
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT2332
FL
Other
Enumeration date
12/30/2005
Last updated
07/08/2007
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