Individual
JUSTIN VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
6480 SW 20TH TER, MIAMI, FL 33155-1938
(786) 683-3486
Mailing address
6480 SW 20TH TER, MIAMI, FL 33155-1938
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11045914
FL
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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