Individual
SASHA VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
100 MACARTHUR CSWY, MIAMI BEACH, FL 33139-5101
(305) 535-4500
Mailing address
100 MACARTHUR CSWY, MAIN MEDICAL: HS1 VELASCO, MIAMI BEACH, FL 33140
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V420-799-81-753-0
TRICARE
FL
Enumeration date
04/18/2019
Last updated
04/18/2019
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