Individual
PEDRO VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2307 W SAINT JOSEPH ST, TAMPA, FL 33607-1651
(813) 468-4890
Mailing address
2307 W SAINT JOSEPH ST, TAMPA, FL 33607-1651
(813) 468-4890
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12938
FL
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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