Individual
CORINA CRISTINA VELAZCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6200 SUNSET DR STE 302, SOUTH MIAMI, FL 33143-4829
(786) 662-8122
Mailing address
10131 KENDALE BLVD, MIAMI, FL 33176-2783
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116383
FL
363AM0700X
Medical Physician Assistant
PA9116383
FL
363AS0400X
Surgical Physician Assistant
PA9116383
FL
Other
Enumeration date
01/04/2021
Last updated
10/31/2022
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