Individual
DR. MAXIMILIANO VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10095 N KENDALL DR STE 103, MIAMI, FL 33176
(786) 504-0904
(786) 504-0899
Mailing address
PO BOX 430885, SOUTH MIAMI, FL 33243-0885
(786) 456-4107
(786) 376-8908
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME95957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
316159
AVMED
FL
Enumeration date
02/15/2007
Last updated
07/24/2018
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