Individual
ANTONIO J VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2260 SAN VITAL DR APT 101, KISSIMMEE, FL 34741-1571
(787) 484-3546
Mailing address
PO BOX 420985, KISSIMMEE, FL 34742-0985
(787) 484-3546
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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