Organization
FIRST RESPONSE LEADS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN VELASQUEZ APRN (PRESIDENT)
(786) 227-6020
Entity
Organization
Contact information
Practice address
12900 SW 128TH ST STE 204B, MIAMI, FL 33186-6274
(786) 227-6020
(786) 544-2790
Mailing address
12900 SW 128TH ST STE 204B, MIAMI, FL 33186-6274
(786) 227-6020
(786) 544-2790
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11020559
MEDICAL LICENSE
FL
Enumeration date
08/08/2023
Last updated
12/12/2023
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