Individual
VIC VELANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 TAMPA GENERAL CIR, STC 7TH FLOOR, TAMPA, FL 33606-3603
(813) 844-7393
(813) 974-4280
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME111051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004060400
—
FL
01
—
14H34
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/18/2006
Last updated
04/05/2021
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