Individual
KAREN VELAZQUEZ-VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11100 SUMMER RIDGE LANE, FORT MYERS, FL 33908-4064
(239) 344-2307
(239) 267-6219
Mailing address
PO BOX 919771, ORLANDO, FL 32891-9771
(239) 278-3600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME96391
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276339700
—
FL
01
—
AB368Y
MEDICARE
FL
Enumeration date
08/10/2006
Last updated
09/01/2021
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