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Individual

JOHN T VELASQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(772) 461-4000
Mailing address
5383 SW POMEGRANATE WAY, PALM CITY, FL 34990-8629
(908) 578-5079

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA09705300
NJ
207P00000X
Emergency Medicine Physician
4301101655
MI
207P00000X
Emergency Medicine Physician
Primary
ME127402
FL

Other

Enumeration date
07/03/2012
Last updated
04/30/2026
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