Individual
JOSIE VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3661 S ORLANDO DR, SANFORD, FL 32773-5611
(407) 323-4640
(407) 323-7645
Mailing address
3661 S ORLANDO DR, SANFORD, FL 32773-5611
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3533
FL
Other
Enumeration date
11/09/2006
Last updated
10/02/2007
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