Individual
OMAIDA C VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE FL CTR4, MIAMI, FL 33136-1005
(305) 585-6000
(305) 585-8569
Mailing address
1611 NW 12TH AVE FL CTR4, MIAMI, FL 33136-1005
(305) 585-6000
(305) 585-8569
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
MD054213L
PA
2086S0129X
Vascular Surgery Physician
Primary
ME100087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017492560001
—
PA
05
—
2798522-00
—
FL
Enumeration date
06/26/2006
Last updated
01/21/2014
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